Valley Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

VALLEY MEDICAL LLC

Practice address

2065 E. Fairview Ave.
Meridian, ID 83642-5798

Phone

(208) 955-7491

Fax

(208) 955-7492

NPI assigned

Mar 4, 2009

Last updated

Jan 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason A. Monks

Title

Manging Member

Phone

(208) 955-7491

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1982844866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 E. FAIRVIEW AVE.",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425798",
            "telephone_number": "208-955-7491",
            "fax_number": "208-955-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E. FAIRVIEW AVE.",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425798",
            "telephone_number": "208-955-7491",
            "fax_number": "208-955-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "MONKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANGING MEMBER",
        "authorized_official_telephone_number": "208-955-7491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Urbatchka, PT, DPT
• Urology Clinic
• Lauren Mariet Valentine, DPT
• Michael Andrew Valerio, PA
• Ana Colleen Valle, MA
• Valor Family Therapy
• Miranda Michelle Van Dam, CSFA
• Benjamin Alexander Van Hoogen, FNP-C
• Chelsea Marie Van Wagenen, RN, NTP, RWS
• Klaas Vanden Beld, NP

• Oxygen Equipment & Supplies (DME) in Meridian, ID
• Providers in Meridian, ID by specialty
• Oxygen Equipment & Supplies (DME) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.