Organization Active NPI

Star Valley Home Oxygen

  • Oxygen Equipment & Supplies (DME)
  • Thayne, WY
National Provider Identifier
1972740397
Registry record updated Oct 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
STAR VALLEY HOME OXYGEN
Practice address
118 S Main St
Thayne, WY 83127
Phone
(307) 883-3445
Fax
(307) 883-7584
NPI assigned
Jan 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2009

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

Authorized official

Name
Craig Kenneth Walther
Title
Owner
Phone
(307) 883-3445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

118 S Main St
Thayne, WY 83127

Mailing address

118 S. Main St.
Thayne, WY 83127
Phone (307) 883-3445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1972740397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S. MAIN ST.",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "83127",
            "telephone_number": "307-883-3445",
            "fax_number": "307-883-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "THAYNE",
            "state": "WY",
            "postal_code": "83127",
            "telephone_number": "307-883-3445",
            "fax_number": "307-883-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR VALLEY HOME OXYGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "WALTHER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-883-3445"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thayne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.