NPIMap

Organization Active NPI

Stat Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Yakima, WA
National Provider Identifier
1629027057
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
6012058040010003 Issued in WA
Legal business name
STAT MEDICAL INC
Practice address
3411 Fruitvale Blvd
Yakima, WA 98902-7320
Phone
(509) 972-3989
Fax
(509) 972-4494
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Michael Anthony Conforto
Title
President/Ceo
Phone
(206) 621-1982

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 6012058040010003 WA Primary
Customized Equipment (DME) 332BC3200X 6012058040010003 WA
Nursing Facility Supplies (DME) 332BN1400X 6012058040010003 WA
Oxygen Equipment & Supplies (DME) 332BX2000X 6012058040010003 WA

Addresses

Primary practice location

3411 Fruitvale Blvd
Yakima, WA 98902-7320

Mailing address

21222 30TH Dr SE
Suite 210
Bothell, WA 98021-7069
Phone (206) 621-1982

Other identifiers 5

IdentifierTypeStateIssuer
ST2365OtherWAREGENCE BLUE SHIELD
0066134OtherWALABOR & INDUSTRIES
9047085MedicaidWA
9038860MedicaidWA
9029265MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1629027057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21222 30TH DR SE",
            "address_2": "SUITE 210",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217069",
            "telephone_number": "206-621-1982",
            "fax_number": "425-820-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 FRUITVALE BLVD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027320",
            "telephone_number": "509-972-3989",
            "fax_number": "509-972-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "CONFORTO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "206-621-1982"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": "6012058040010003",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "WA",
            "license": "6012058040010003",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "WA",
            "license": "6012058040010003",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WA",
            "license": "6012058040010003",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "ST2365",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0066134",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9047085",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9038860",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9029265",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.