Provider Demographics
NPI:1013298249
Name:VALLEY SERVICE HEATING & AC
Entity Type:Organization
Organization Name:VALLEY SERVICE HEATING & AC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-293-5781
Mailing Address - Street 1:806 NP AVE N
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-4953
Mailing Address - Country:US
Mailing Address - Phone:701-293-5701
Mailing Address - Fax:701-293-4034
Practice Address - Street 1:806 NP AVE N
Practice Address - Street 2:SUITE 201
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-4953
Practice Address - Country:US
Practice Address - Phone:701-293-5701
Practice Address - Fax:701-293-4034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies