Healthcare Provider Details

I. General information

NPI: 1295831576
Provider Name (Legal Business Name): STAT OXYGEN SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

122 CLEARVIEW DR
MCMURRAY PA
15317-3128
US

IV. Provider business mailing address

122 CLEARVIEW DR
MCMURRAY PA
15317-3128
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-4035
  • Fax: 724-942-6331
Mailing address:
  • Phone: 724-941-4035
  • Fax: 724-942-6331

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3000007022
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierST220573
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerBLUE CROSS ID NUMBER

VIII. Authorized Official

Name: MR. LOUIS J PALATIS
Title or Position: PRESIDENT
Credential:
Phone: 724-941-4035