1346241692 NPI number — GILL-WEST COMPANIES, INC.

Table of content: (NPI 1346241692)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346241692 NPI number — GILL-WEST COMPANIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GILL-WEST COMPANIES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RIVER VALLEY MEDICAL SUPPLY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346241692
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1479
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARKSVILLE
Provider Business Mailing Address State Name:
AR
Provider Business Mailing Address Postal Code:
72830-1479
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
479-705-9401
Provider Business Mailing Address Fax Number:
479-705-8801

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1112 S ROGERS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLARKSVILLE
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72830-9157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
479-705-9401
Provider Business Practice Location Address Fax Number:
479-705-8801
Provider Enumeration Date:
08/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
GILL
Authorized Official First Name:
ROBERTA
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
479-705-9401

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  MG00584 , registered in the state of AR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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