Organization
MED WAY MEDICAL, INC
Active
Other names
Valley Medical of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN P GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
1250 E KALISPELL ST STE 110, MERIDIAN, ID 83642-8517
(208) 955-7491
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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