Stateserv Medical

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

STATESERV MEDICAL

Practice address

4326 Airport Road
Unit F
Santa Fe, NM 87507

Phone

(480) 966-9730

NPI assigned

Feb 8, 2017

Last updated

Oct 21, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

STATESERV COMPANIESAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Roode

Title

Coo

Phone

(877) 633-7250

Specialties & licenses 1

Addresses

Other names 1

• StateServ Medical of New Mexico Other name

Tax ID family

Stateserv Homecare LLC2 organizations share this tax ID, including this one

Part of

Stateserv Medical LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Stateserv Medical of New Mexico LLC

  • Oxygen Equipment & Supplies (DME)
  • Albuquerque, NM
  • NPI 1881909554
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1093253221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. ALMA SCHOOL ROAD",
            "address_2": "SUITE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 AIRPORT ROAD",
            "address_2": "UNIT F",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87507",
            "telephone_number": "480-966-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATESERV COMPANIES",
        "enumeration_date": "2017-02-08",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-633-7250"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical of New Mexico",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical of New Mexico",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• State of New Mexico (Department of Health Family Planning)
• State of New Mexico (Medical Assistance Division)
• State of New Mexico
• State of New Mexico (DOH/PHD/Immunization Program)
• State of New Mexico-Altsd
• Elena Campili Stauss, CPM, LM
• Daniel Stearns, LPCC
• Bailey Glynne Steele
• Edwin D Steffy, DDS
• Aviv Li Stein

• Oxygen Equipment & Supplies (DME) in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Oxygen Equipment & Supplies (DME) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.