STATESERV MEDICAL LLC NPI 1679349641

NPI Information

NPI: 1679349641
Provider Name: STATESERV MEDICAL, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1235 PASS ROAD
GULFPORT, MS
ZIP 39501
Phone: (904) 219-1275
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STATESERV MEDICAL, LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Gulfport, MS. STATESERV MEDICAL, LLC NPI is 1679349641. The provider is registered as an organization entity type.

The provider's business location address is:

1235 PASS ROAD
GULFPORT, MS
ZIP 39501
Phone: (904) 219-1275

The provider's authorized official is Christopher Roode .
The authorized official title is Coo and has the following contact phone number (877) 633-7250.

The enumeration date for this NPI number is 11/30/2023 and was last updated on 11/30/2023.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

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: 4/28/2024

NPI Synchronization or Removal

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