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STATEWIDE TRANSPORTATION SERVICES LLC NPI 1578163531


NPI Information

NPI: 1578163531
Provider Name: STATEWIDE TRANSPORTATION SERVICES, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
969 VIRGINIA AVE
ASHLAND, OH
ZIP 44805
Phone: (419) 281-0453
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STATEWIDE TRANSPORTATION SERVICES, LLC is a non emergency medical transport van in Ashland, OH. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. STATEWIDE TRANSPORTATION SERVICES, LLC NPI is 1578163531. The provider is registered as an organization entity type.

The provider's business location address is:

969 VIRGINIA AVE
ASHLAND, OH
ZIP 44805-949
Phone: (419) 281-0453

The provider's authorized official is Michael Gerald Mcclure .
The authorized official title is Ceo and has the following contact phone number (419) 281-0453.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 10/29/2020.


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
1251C00000XDay Training, Developmentally Disabled ServicesNo
2261QD1600XClinic/CenterDevelopmental DisabilitiesNo
3347B00000XBusNo
4343900000XNon-emergency Medical Transport (VAN)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10148612MEDICAIDOHIO

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

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