Tri-Valley Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRI-VALLEY MEDICAL, LLC

Practice address

926 E 7240 S
Ogden, UT 84405-9224

Phone

(801) 628-3559

NPI assigned

Oct 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennie Fry

Title

Billing Manager

Phone

(801) 452-6065

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1831409929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150493",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844150493",
            "telephone_number": "801-452-6065",
            "fax_number": "866-206-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E 7240 S",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844059224",
            "telephone_number": "801-628-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "FRY",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-452-6065"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjeev Trehan, M.D.
• Kaylee Tremelling, MCN, RDN/LD/CD
• Joel Trevino, PTA
• Tri-County Independent Living Center
• Tri-County Independent Living Center of Utah
• Michael Lee Tribe, D.D.S.
• Trinity Mission Wide Horizons Residential Care Facility, LP
• Kay T Triplett, PT
• Tristan Inc.
• Dean Crispin Troili, D.D.S.

• Durable Medical Equipment & Medical Supplies in Ogden, UT
• Providers in Ogden, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.