Organization
VALLEY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL ALVIN MCDONALD (SOLE PROPRIETOR)
(719) 384-1888
Entity
Organization
Contact information
Practice address
317 COLORADO AVE, LA JUNTA, CO 81050
(719) 384-1888
(719) 384-1890
Mailing address
317 COLORADO AVE, LA JUNTA, CO 81050
(719) 384-1888
(719) 384-1890
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36570371
—
CO
Enumeration date
10/02/2007
Last updated
06/16/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up