Provider Demographics
NPI:1164478319
Name:BARNES BROTHERS INC
Entity Type:Organization
Organization Name:BARNES BROTHERS INC
Other - Org Name:VALLEY MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:CF
Authorized Official - Phone:509-836-1191
Mailing Address - Street 1:508 YAKIMA VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:WA
Mailing Address - Zip Code:98944
Mailing Address - Country:US
Mailing Address - Phone:509-836-1191
Mailing Address - Fax:509-836-1189
Practice Address - Street 1:508 YAKIMA VALLEY HWY
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:WA
Practice Address - Zip Code:98944-1327
Practice Address - Country:US
Practice Address - Phone:509-836-1191
Practice Address - Fax:509-836-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9047796Medicaid
WA9047820OtherMEDICAID
WA9048513OtherMEDICAID
WA9048513OtherMEDICAID
WA1261540001Medicare ID - Type Unspecified