Provider Demographics
NPI:1376518787
Name:MISSISSIPPI VALLEY SLEEP SUPPLIES
Entity Type:Organization
Organization Name:MISSISSIPPI VALLEY SLEEP SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BS
Authorized Official - Phone:563-322-2036
Mailing Address - Street 1:1230 E RUSHOLME ST
Mailing Address - Street 2:STE 303
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52803-2400
Mailing Address - Country:US
Mailing Address - Phone:563-322-2036
Mailing Address - Fax:563-323-8240
Practice Address - Street 1:3385 DEXTER CT
Practice Address - Street 2:STE 102
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-3471
Practice Address - Country:US
Practice Address - Phone:563-459-6580
Practice Address - Fax:563-344-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies