Organization
CLEAR CHOICE EXPRESS LLC
Active
Organization
CLEAR CHOICE EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY DUANE ADDY (CEO)
(928) 529-2060
Entity
Organization
Contact information
Practice address
2614 TRIANGLE S ST, KINGMAN, AZ 86401-7344
(928) 529-2060
(928) 543-7723
Mailing address
1308 N STOCKTON HILL RD # A265, KINGMAN, AZ 86401-5139
(928) 529-2060
(928) 543-7723
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
50593
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000048853
BETTER BUSINESS BUREAU NUMBER
AZ
01
—
50593
AZ. DOT NUMBER
AZ
Enumeration date
10/16/2017
Last updated
02/15/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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