Stateserv Medical of Colorado LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STATESERV MEDICAL OF COLORADO LLC

Practice address

920 Ford St.
Suite a
Colorado Springs, CO 80915

Phone

(877) 633-7250

NPI assigned

Oct 11, 2011

Organization subpart

Yes

Parent organization

THE STATESERV COMPANIES LLCAs reported in NPPES

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

Authorized official

Name

Chris Roode

Title

Coo

Phone

(480) 797-8061

Specialties & licenses 2

Addresses

Other names 1

• StateServ Medical LLC Other name

Locations

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1114202041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD STE 4000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101148",
            "telephone_number": "877-633-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 FORD ST.",
            "address_2": "SUITE A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80915",
            "telephone_number": "877-633-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL OF COLORADO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE STATESERV COMPANIES LLC",
        "enumeration_date": "2011-10-11",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "ROODE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-797-8061"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Durable Medical Equipment & Medical Supplies in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.