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STATESERV MEDICAL, LLC
NPI 1679349641
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Gulfport, MS

Active since November 30, 2023
1235 PASS ROAD, GULFPORT, MS 39501(904) 219-1275 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stateserv Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATESERV MEDICAL, LLC (NPI 1679349641) is a healthcare organization registered as an oxygen equipment & supplies in Gulfport, Mississippi and active in the NPI registry since November 2023. The organization lists Christopher Roode, Coo, as its authorized official.

NPPES Registry Identity

NPI1679349641
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameSTATESERV MEDICAL, LLC
Location Address1235 PASS ROADGulfport, MS 39501
Mailing Address1201 South Alma School Road, Suite 4000Mesa, AZ 85210 · (877) 633-7250
Phone(904) 219-1275
Organization SubpartNo
Authorized OfficialChristopher RoodeCoo · (877) 633-7250
Enumeration DateNovember 30, 2023
✔ NPI 1679349641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
1235 PASS ROAD, Gulfport, MS 39501
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Other Names 1

Other NameGulfport

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stateserv Medical, LLC's NPI number?

The NPI number for Stateserv Medical, LLC is 1679349641. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is also known as Gulfport.

Where is Stateserv Medical, LLC located?

Stateserv Medical, LLC is located at 1235 Pass Road, Gulfport, MS 39501. The listed phone number is (904) 219-1275.

What is Stateserv Medical, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Stateserv Medical, LLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.