# STATESERV MEDICAL OF COLORADO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861036501
- **Authorized official:** CHRISTOPHER ROODE (COO)
- **Authorized official phone:** (877) 633-7250

## Contact information

- **Practice address:** 711 S. SHERMAN ST., LONGMONT, CO 80501
- **Practice address phone:** (877) 633-7250
- **Mailing address:** 1201 S. ALMA SCHOOL ROAD, SUITE 4000, MESA, AZ 85210
- **Mailing address phone:** (788) 633-7250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/06/2019
- **Last updated:** 08/26/2022