Organization Active NPI

Statewide Trans Inc

Doing business as Statewide Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Alexandria, LA
National Provider Identifier
1669934501
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STATEWIDE TRANS INC
Doing business as
Statewide Medical Transportation
Practice address
3028 N Macarthur Dr
Alexandria, LA 71303-4142
Phone
(318) 709-1595
Fax
(318) 704-6333
NPI assigned
Apr 1, 2019
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Ahmad Khaled AbdelsalamNPI 1861954117
Title
Director
Phone
(318) 709-1595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3028 N Macarthur Dr
Alexandria, LA 71303-4142

Mailing address

3028 N Macarthur Dr
Alexandria, LA 71303-4142
Phone (318) 709-1595

Other identifiers 1

IdentifierTypeStateIssuer
00000000OtherLA00000000

Other names 1

  • STATEWIDE MEDICAL TRANSPORTATION Doing business as

National Provider Directory

National Provider Directory

Locations

3028 N MacArthur Dr
Alexandria, LA 71303
Phone (318) 709-1595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1669934501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 N MACARTHUR DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034142",
            "telephone_number": "318-709-1595",
            "fax_number": "318-704-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 N MACARTHUR DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713034142",
            "telephone_number": "318-709-1595",
            "fax_number": "318-704-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE TRANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "ABDELSALAM",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "KHALED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-709-1595"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "00000000",
            "identifier": "00000000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STATEWIDE MEDICAL TRANSPORTATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.