Organization Name: | STATEWIDE EXPRESS INC |
NPI Number: | 1952549552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY JOLENE WESTWOOD (OFFICE MANAGER) |
Mailing Address: | 551 Marina Blvd Bullhead City |
State: | AZ US |
Postal Code: | 864425413 |
Phone Number: | 9287585455 |
Fax Number: | 9284535119 |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | 0700004870 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy Definition: | A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |