STATESERVE MEDICAL, LLC; NPI #1689440687

Contact Information

STATESERVE MEDICAL, LLC

9852 CRESCENT PARK DRIVE
WEST CHESTER, OH 45069

Phone: 877-633-7250
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oxygen Equipment & Supplies	332BX2000X	B1	Oxygen supplier

Indicates primary specialty

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NPI Profile & details for STATESERVE MEDICAL, LLC

NPI Number	`1689440687`
LBN Legal business name	STATESERVE MEDICAL, LLC
Authorized official	CHRISTOPHER ROODE - (COO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/30/2023
Last updated	11/30/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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