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STATEWIDE HEALTHCARE SERVICES LLC NPI 1205964178


NPI Information

NPI: 1205964178
Provider Name: STATEWIDE HEALTHCARE SERVICES, LLC
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
3829 I-55 NORTH
JACKSON, MS
ZIP 39211
Phone: (800) 898-0981
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STATEWIDE HEALTHCARE SERVICES, LLC is a private vehicle in Jackson, MS. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. STATEWIDE HEALTHCARE SERVICES, LLC NPI is 1205964178. The provider is registered as an organization entity type.

The provider's business location address is:

3829 I-55 NORTH
JACKSON, MS
ZIP 39211
Phone: (800) 898-0981
Fax: (601) 982-7462

The provider's authorized official is Joseph Bonaccorsi .
The authorized official title is Chief Legal Officer and has the following contact phone number (312) 762-9999.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 9/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1347C00000XPrivate VehicleYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.