STATESERV MEDICAL, LLC (NPI# 1376739458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376739458 |
| Entity Type | Organization |
| Organization Name | STATESERV MEDICAL, LLC |
| Other Organization Name | STATESERV MEDICAL LLC |
| Practice Address |
4001 S Contractors Way Suite 161 Tucson AZ 85714-2160 |
| Mailing Address |
1201 S. Alma School Road Suite 4000 Mesa AZ 85210 |
| Practice Telephone | 4809669730 |
| Practice Fax Number | 8662800415 |
| Mailing Telephone | 3362278030 |
| Mailing Fax Number | 3362273288 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | CHRISTOPHER ROORE (COO) |
| Authorized Official Telephone | 8776337250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE STATESERV COMPANIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| StateServ Medical LLC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699198556 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 2940 Highway 77, Gadsden, AL 35907-7601 | 2014-01-29 |
| 1669895538 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 756 Commerce Dr Ste 2, Venice, FL 34292-1706 | 2014-01-29 |
| 1275956146 | Stateserv Medical, LLC | Durable Medical Equipment & Medical Supplies | 1045 Collier Center Way, #4, Naples, FL 34110-8442 | 2014-01-29 |
| Street Address |
4001 S CONTRACTORS WAY SUITE 161 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85714-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
| 1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
| 1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
| 1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
| 1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
| Find all providers in zip 85714 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548801871 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 620 N Craycroft Rd Ste P, Tucson, AZ 85711-1448 | 2019-10-08 |
| 1760023097 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1021 E Palmdale St Ste 150-p, Tucson, AZ 85714-1857 | 2019-10-08 |
| 1811538002 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3875 N 1st Ave Ste B, Tucson, AZ 85719-1301 | 2019-09-30 |
| 1013579739 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 5405 E Granite St Bldg 2527, Tucson, AZ 85707-3004 | 2019-07-02 |
| 1417417221 | Banner - University Medical Center Tucson Campus LLC | Durable Medical Equipment & Medical Supplies | 1501 N Campbell Ave Rm 6604, Tucson, AZ 85724-0001 | 2019-03-20 |
| 1649757352 | Brittany Newland | Durable Medical Equipment & Medical Supplies | 5350 E Broadway Blvd Ste 108, Tucson, AZ 85711-3722 | 2018-07-25 |
| 1588154157 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 575 E River Rd Ste 104, Tucson, AZ 85704-5822 | 2018-05-18 |
| 1467952853 | Usa Medical Equipment and Supply | Durable Medical Equipment & Medical Supplies | 7916 E Colette Cir Unit 55, Tucson, AZ 85710-2495 | 2018-02-13 |
| 1104364157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 831 E Fort Lowell Rd, Tucson, AZ 85719-2109 | 2017-02-09 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.