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General NPI Number Information
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NPI Number | 1760543359
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Entity Type | Organization
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Legal Business Name | MID-VALLEY HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 2800 MITCHELL RD STE P-U
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City | CERES
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State | CA
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Zip | 95307-9227
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Country | US
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Telephone | 209-531-1858
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Fax | 209-531-0825
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Provider Business Mailing Address
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Address Line | 200 W LEXINGTON AVE STE 203
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City | HIGH POINT
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State | NC
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Zip | 27262-2599
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Country | US
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Telephone | 336-309-3692
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Fax | 855-843-3395
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOUGLAS E HILL
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Credential |
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Telephone | 336-309-3692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | PHY37093
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY37093
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY37093
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | PHY37093
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PHY37093
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | PHY37093
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | PHY37093
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHY37093
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PHY30793
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License Number State | CA
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