Statewide Express Inc

Primary specialty

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

License

0700004870 Issued in AZ

Legal business name

STATEWIDE EXPRESS INC

Practice address

551 Marina Blvd
Bullhead City, AZ 86442-5413

Phone

(928) 758-5455

Fax

(928) 453-5119

NPI assigned

Feb 4, 2009

Last updated

Feb 4, 2009By the provider in NPPES

Organization subpart

No

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) 453-6112

Specialties & licenses 1

Addresses

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.

• Statewide Express

  • Non-emergency Medical Transport (VAN)
  • Lake Havasu City, AZ
  • NPI 1659319390
  NPD tax ID
• Statewide Express Inc

  • Non-emergency Medical Transport (VAN)
  • Yuma, AZ
  • NPI 1386882249
  NPD tax ID

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1952549552",
    "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": "551 MARINA BLVD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425413",
            "telephone_number": "928-758-5455",
            "fax_number": "928-453-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "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": "928-453-6112"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "0700004870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Jon Stackhouse
• Nicholas Scott Stagg, FNP-C
• Jennifer Staggs, MSW, LCSW
• Blake A Stamper, D.O.
• Lisa A Stanley, APN
• Kelleen Stiles, PMHNP
• Cynthia Joyce Stormo, RN
• Celeste Nicole Stuart, DMD
• Robin Carl Sturms, D.D.S
• Summer's Dawn Center

• Non-emergency Medical Transport (VAN) in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.