Statewide Transportation Services LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

STATEWIDE TRANSPORTATION SERVICES LLC

Practice address

5679 Alten St
Portage, MI 49024-9504

Phone

(234) 788-5311

NPI assigned

Mar 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amon Pangalala

Title

Ceo

Phone

(234) 788-5311

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1134877715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5679 ALTEN ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490249504",
            "telephone_number": "234-788-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5679 ALTEN ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490249504",
            "telephone_number": "234-788-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE TRANSPORTATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-14",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "PANGALALA",
        "authorized_official_first_name": "AMON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "234-788-5311"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferris R Standiford, O.D.
• Laurie Ann Standiford, R.PH.
• Olivia Stanek
• Shemika Stanford
• Stat Toxicology, LLC
• Sarah Jane Stawowy, LCSW
• Kimberly Steele
• Moriah Steele, AUD
• Israil U Steen, LMSW
• Hallie Charlotte Steinberger, LMSW

• Non-emergency Medical Transport (VAN) in Portage, MI
• Providers in Portage, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.