Provider Demographics
NPI:1295831576
Name:STAT OXYGEN SERVICES INC
Entity Type:Organization
Organization Name:STAT OXYGEN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:PALATIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-941-4035
Mailing Address - Street 1:122 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3128
Mailing Address - Country:US
Mailing Address - Phone:724-941-4035
Mailing Address - Fax:724-942-6331
Practice Address - Street 1:122 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3128
Practice Address - Country:US
Practice Address - Phone:724-941-4035
Practice Address - Fax:724-942-6331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000007022332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAST220573OtherBLUE CROSS ID NUMBER
PA0204400001Medicare ID - Type UnspecifiedPROVIDER NUMBER