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
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