STATEWIDE TRANS INC (NPI# 1669934501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669934501 |
| Entity Type | Organization |
| Organization Name | STATEWIDE TRANS INC |
| Practice Address |
3028 N Macarthur Dr Alexandria LA 71303-4142 |
| Practice Telephone | 3187091595 |
| Practice Fax Number | 3187046333 |
| Mailing Telephone | 3187091595 |
| Mailing Fax Number | 3187046333 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |
| Authorized Official Name | AHMAD KHALED ABDELSALAM (DIRECTOR) |
| Authorized Official Telephone | 3187091595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 00000000 | 00000000 | 01 |
| Other Name | Type Code |
|---|---|
| STATEWIDE MEDICAL TRANSPORTATION | Doing Business As Name - Organization |
| Street Address |
3028 N MACARTHUR DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861954117 | Ahmad Khaled Abdelsalam | Driver | 3028 N Macarthur Dr, Alexandria, LA 71303-4142 | 2019-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473016 | A Plus Medical Transportation, Co. | Non-emergency Medical Transport (VAN) | 6100 Dixie Ln, Alexandria, LA 71301-2225 | 2020-10-08 |
| 1649891425 | Fountain Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 137, Alexandria, VA 22314-2761 | 2020-05-02 |
| 1316596851 | Pure Love Medical Transport LLC | Non-emergency Medical Transport (VAN) | 5405 Duke St Apt T13, Alexandria, VA 22304-3163 | 2019-09-07 |
| 1447806526 | Drusilla Boateng Osei | Non-emergency Medical Transport (VAN) | 2202 N Pickett St Apt T2, Alexandria, VA 22304-1085 | 2019-08-14 |
| 1164980918 | Tsion Mogus | Non-emergency Medical Transport (VAN) | 6318 Indian Run Pkwy # 2, Alexandria, VA 22312-6439 | 2019-03-11 |
| 1467910497 | King's Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 718 N 3rd St, Alexandria, LA 71301-8593 | 2019-03-08 |
| 1366900847 | Nigussie G Mogus Dba Batmn | Non-emergency Medical Transport (VAN) | 6318 Indian Run Pkwy, Alexandria, VA 22312-6439 | 2019-03-04 |
| 1467923102 | Compassion8 Kare Transportation LLC | Non-emergency Medical Transport (VAN) | 3700 Government St, Alexandria, LA 71302-3326 | 2018-12-06 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1225523723 | Optima Transportation | Non-emergency Medical Transport (VAN) | 4705 Eisenhower Ave, Alexandria, VA 22304-4805 | 2018-06-27 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on STATEWIDE TRANS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.