STATESERV MEDICAL OF COLORADO (NPI# 1861036501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861036501 |
| Entity Type | Organization |
| Organization Name | STATESERV MEDICAL OF COLORADO |
| Practice Address |
63 South Pratt Pkwy Landmont CO 80501 |
| Mailing Address |
1201 S. Alma School Road Suite 4000 Mesa AZ 85210 |
| Practice Telephone | 8776337250 |
| Mailing Telephone | 7886337250 |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | CHRISTOPHER ROODO (COO) |
| Authorized Official Telephone | 8776337250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | STATESERV MEDICAL OF COLORADO, L.L.C. | 1201 S Alma School Rd, Suite 4000, Mesa, AZ 85210 |
| Street Address |
63 SOUTH PRATT PKWY |
| City | LANDMONT |
| State | CO |
| Zip Code | 80501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| 1508235573 | Michelle Gallagher | Speech-Language Pathologist | 601 Korte Parkway, Longmont, CO 80501 | 2015-09-21 |
| Find all providers in zip 80501 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372235 | Sprylyfe Inc | Durable Medical Equipment & Medical Supplies | 14 Inverness Dr E Ste B132, Englewood, CO 80112-5648 | 2019-08-22 |
| 1275187882 | Colorado Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 7345 S Pierce St # 204, Littleton, CO 80128-7207 | 2019-07-31 |
| 1750859583 | Ascent Health Services LLC | Durable Medical Equipment & Medical Supplies | 1611 Alma Ave Ofc 1, Pueblo, CO 81004-2609 | 2018-11-09 |
| 1306336268 | Mountain Oxygen & Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 486 Pine St., Minturn, CO 81645 | 2018-05-16 |
| 1598268294 | Jerimie Jamee Jacob Olvera | Durable Medical Equipment & Medical Supplies | 11674 Granby St, Commerce City, CO 80603-7203 | 2018-03-09 |
| 1174021547 | Oxygen To You | Durable Medical Equipment & Medical Supplies | 500 Trailhead Circle, #521, Winter Park, CO 80482 | 2018-01-31 |
| 1134665490 | Alliance Home Care, LLC | Durable Medical Equipment & Medical Supplies | 1402 S Parker Rd # A-104, Denver, CO 80231-2758 | 2017-01-11 |
| 1154789279 | Hartman Brothers, Inc | Durable Medical Equipment & Medical Supplies | 565 25 Rd Ste A101, Grand Junction, CO 81505-1338 | 2016-02-03 |
| 1144602707 | Metro Aire Ltd | Durable Medical Equipment & Medical Supplies | 7943 Emerson St, Denver, CO 80229-5924 | 2015-06-19 |
| 1275924664 | Comfort Med. Supply, Inc | Durable Medical Equipment & Medical Supplies | 9450 E Mississippi Ave # F, Denver, CO 80247-2427 | 2015-02-06 |
| Find all providers with the same taxonomy | ||||
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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.