Healthcare Provider Details

I. General information

NPI: 1982617775
Provider Name (Legal Business Name): VIRGINIA MEDICAL AND RESPIRATORY EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RT 460 RIVERSIDE DRIVE ROYAL CITY SECTION
GRUNDY VA
24614
US

IV. Provider business mailing address

PO BOX 1380
GRUNDY VA
24614-1380
US

V. Phone/Fax

Practice location:
  • Phone: 276-935-8621
  • Fax: 276-935-6111
Mailing address:
  • Phone: 276-935-8621
  • Fax: 276-935-6111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number0206009032
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0206009032
License Number StateVA

VIII. Authorized Official

Name: MR. RONNIE DENNIS COMPTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 276-935-8621