Organization
CHAMPLAIN VALLEY BRACE AND LIMB, L.L.C.
Active
Parent organization
ACTIVSTYLE HOLDING COMPANY
Other names
ActivStyle
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACTIVSTYLE HOLDING COMPANY
Authorized official
DARRELL DOUGLAS RAWLINGS (CEO)
(612) 895-7815
Entity
Organization
Contact information
Practice address
762 STATE ROUTE 3, STE 15, PLATTSBURGH, NY 12901-7472
(518) 907-0225
(518) 561-5335
Mailing address
1055 WESTGATE DR STE 100, SAINT PAUL, MN 55114-1451
(888) 280-8632
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646784
—
NY
05
—
1013711
—
VT
Enumeration date
04/12/2007
Last updated
10/31/2025
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