Organization
STATEWIDE TRANS INC
Active
Other names
STATEWIDE MEDICAL TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD KHALED ABDELSALAM (DIRECTOR)
(318) 709-1595
Entity
Organization
Contact information
Practice address
3028 N MACARTHUR DR, ALEXANDRIA, LA 71303-4142
(318) 709-1595
(318) 704-6333
Mailing address
3028 N MACARTHUR DR, ALEXANDRIA, LA 71303-4142
(318) 709-1595
(318) 704-6333
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
00000000
LA
Enumeration date
04/01/2019
Last updated
04/01/2019
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