MEDICARE: VALLEY SLEEP AND AIRWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1841088564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY SLEEP AND AIRWAY

Provider Business Mailing Address
First Line	:	N2714 BUCKHORN DR
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54913-9611
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	229 E FRANKLIN ST
Second Line	:
City	:	APPLETON
State	:	WI
Zip	:	54911-5434
Country	:	US
Telephone Number	:	920-733-2371
Fax Number	:	866-422-2518

Authorized Official
Title or Position	:	OWNER
Name	:	ALISSA EDWARDS
Credential	:
Telephone Number	:	414-975-2240

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	06/18/2025

Similar Medicare Providers

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Practice Location Address:

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1841229093 — RADIOLOGY ASSOCIATES OF APPLETON, S.C.
Practice Location Address:

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1407941909 — RADIOLOGY ASSOCIATES OF APPLETON, S.C.
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Directions to “VALLEY SLEEP AND AIRWAY ” Practice Location

Language	Start Address	Practice Location

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