NPIMap

Organization Active NPI

Stateserv Medical of New Mexico LLC

  • Oxygen Equipment & Supplies (DME)
  • Albuquerque, NM
National Provider Identifier
1881909554
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
STATESERV MEDICAL OF NEW MEXICO LLC
Practice address
3700 Osuna Rd NE
Suite 615
Albuquerque, NM 87109-4492
Phone
(505) 884-2273
Fax
(866) 280-0415
NPI assigned
Aug 18, 2010
Organization subpart
Yes
Parent organization
THE STATESERV COMPANIES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

3700 Osuna Rd NE
Suite 615
Albuquerque, NM 87109-4492

Mailing address

1201 S. Alma School Road
Suite 4000
Mesa, AZ 85210
Phone (505) 884-2273

Other names 1

  • StateServ Medical LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Stateserv Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3700 Osuna Rd NE
Ste 615
Albuquerque, NM 87109
Phone (505) 884-2273

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1881909554",
    "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",
            "telephone_number": "505-884-2273",
            "fax_number": "866-280-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 OSUNA RD NE",
            "address_2": "SUITE 615",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094492",
            "telephone_number": "505-884-2273",
            "fax_number": "866-280-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATESERV MEDICAL OF NEW MEXICO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE STATESERV COMPANIES LLC",
        "enumeration_date": "2010-08-18",
        "last_updated": "2019-10-18",
        "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 LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "StateServ Medical LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.