institution
Village Medical Supply,llc.
Customized Equipment (DME) in Bloomsburg, Pennsylvania
NPI 1780746768

Village Medical Supply,llc. is a Customized Equipment (DME) based in Bloomsburg, PA and is specialized in Customized Equipment. Village Medical Supply,llc. practices in Bloomsburg, PA. The NPI Number for Village Medical Supply,llc. is 1780746768 and holds a License No. 332BC3200X (Pennsylvania).

The current practice location address for Village Medical Supply,llc. is 18 Sherwood Dr, Bloomsburg, PA and can be reached out via phone at 570-389-1161 and via fax at 570-389-1163.

Location: 18 Sherwood Dr, Bloomsburg, PA, 17815-3085
institution
Provider Profile Details
NPI Number
1780746768
Provider Name
Village Medical Supply,llc.
Credential
Provider Entity Type
Organization
Address
18 Sherwood Dr, Bloomsburg, PA, 17815-3085
Phone Number
570-389-1161
Fax Number
570-389-1163
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1012127610002 05 PA
529426 01 PA WELLCARE
0018678 05 NJ
2509434 01 PA HIGHMARK BLUE CROSS BLUE SHIELD
39H56 01 PA CAPITAL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
18 Sherwood Dr
City
State
Zip
17815-3085
Phone Number
570-389-1161
Fax Number
570-389-1163
person
Provider Business Mailing Address Details
Address
18 Sherwood Dr
City
State
Zip
17815-3085
Phone Number
570-389-1161
Fax Number
570-389-1163
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
332BC3200X (New Jersey)
Definition
Definition to come...
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