Provider Demographics
NPI:1720053283
Name:NORTH VALLEY HOSPITAL MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:NORTH VALLEY HOSPITAL MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:AASVED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-863-3500
Mailing Address - Street 1:1600 HOSPITAL WAY
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-0000
Mailing Address - Country:US
Mailing Address - Phone:406-863-3500
Mailing Address - Fax:406-862-7805
Practice Address - Street 1:1600 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-0000
Practice Address - Country:US
Practice Address - Phone:406-863-3500
Practice Address - Fax:406-862-7805
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 Licenses
StateLicense IDTaxonomies
MT10361332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0561626Medicaid
MT073318OtherNVH MEDICAL EQUIP
MT0561626Medicaid