STAT MEDICAL INC NPI 1629027057

NPI Information

NPI: 1629027057
Provider Name: STAT MEDICAL INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3411 FRUITVALE BLVD
YAKIMA, WA
ZIP 98902
Phone: (509) 972-3989
Get Directions

STAT MEDICAL INC is a durable medical equipment medical supplies in Yakima, WA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. STAT MEDICAL INC NPI is 1629027057. The provider is registered as an organization entity type.

The provider's business location address is:

3411 FRUITVALE BLVD
YAKIMA, WA
ZIP 98902-320
Phone: (509) 972-3989
Fax: (509) 972-4494

The provider's authorized official is Michael Anthony Conforto .
The authorized official title is President/ceo and has the following contact phone number (206) 621-1982.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	6012058040010003	WASHINGTON	No
2	332BN1400X	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies	6012058040010003	WASHINGTON	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	6012058040010003	WASHINGTON	No
4	332B00000X	Durable Medical Equipment & Medical Supplies		6012058040010003	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0066134	OTHER	WASHINGTON	LABOR & INDUSTRIES
2	9038860	MEDICAID	WASHINGTON
3	9029265	MEDICAID	WASHINGTON
4	ST2365	OTHER	WASHINGTON	REGENCE BLUE SHIELD
5	9047085	MEDICAID	WASHINGTON
6	0335710002	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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