Statewide Express
NPI #1659319390 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1659319390
- Entity Type
- Organization
- Organization Name
- Statewide Express
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3417 MARICOPA AVE
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86406-9041
- Phone
- (928) 680-1222
Authorized Official
- Name
- AMY JOLENE WESTWOOD
- Title
- BILLING MANAGER
- Phone
- (928) 680-1222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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