Organization
VALLEY MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M SORENSEN RT (PRESIDENT)
(435) 528-3598
Entity
Organization
Contact information
Practice address
325 S 300 W, CENTERFIELD, UT 84622
(435) 528-3598
(435) 528-5392
Mailing address
PO BOX 220655, CENTERFIELD, UT 84622-0655
(435) 528-3598
(435) 528-5392
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22882415901001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
01/24/2007
Last updated
09/11/2025
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