NPIMap

Organization Active NPI

Statewide Express Inc

  • Non-emergency Medical Transport (VAN)
  • Yuma, AZ
National Provider Identifier
1386882249
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0700004870 Issued in AZ
Legal business name
STATEWIDE EXPRESS INC
Practice address
940 S 2ND Ave
Yuma, AZ 85364
Phone
(928) 680-1222
Fax
(928) 680-3680
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Amy Jolene Westwood
Title
Office Manager
Phone
(928) 680-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0700004870 AZ Primary

Addresses

Primary practice location

940 S 2ND Ave
Yuma, AZ 85364

Mailing address

3417 Maricopa Ave
Lake Havasu City, AZ 86406-9197
Phone (928) 680-1222

National Provider Directory

National Provider Directory
Tax ID family
Statewide Express Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

940 S 2nd Ave
Yuma, AZ 85364
Phone (928) 680-1222

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1386882249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 MARICOPA AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864069197",
            "telephone_number": "928-680-1222",
            "fax_number": "928-680-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S 2ND AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-680-1222",
            "fax_number": "928-680-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "WESTWOOD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JOLENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-680-1222"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "0700004870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.