Organization
VILLAGE MEDICAL SUPPLY,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN LUGO (OWNER)
(973) 652-7557
Entity
Organization
Contact information
Practice address
18 SHERWOOD DR, BLOOMSBURG, PA 17815-3085
(570) 389-1161
(570) 389-1163
Mailing address
18 SHERWOOD DR, BLOOMSBURG, PA 17815-3085
(570) 389-1161
(570) 389-1163
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018678
—
NJ
05
—
1012127610002
—
PA
01
—
2509434
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
39H56
CAPITAL BLUE CROSS
PA
01
—
529426
WELLCARE
PA
Enumeration date
12/15/2006
Last updated
08/09/2011
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