Provider Demographics
NPI:1043953326
Name:BG EXPRESS LLC
Entity Type:Organization
Organization Name:BG EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:AMUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-547-6231
Mailing Address - Street 1:3024 SHADY HOLLOW CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-5233
Mailing Address - Country:US
Mailing Address - Phone:804-547-6231
Mailing Address - Fax:
Practice Address - Street 1:3024 SHADY HOLLOW CIR
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-5233
Practice Address - Country:US
Practice Address - Phone:804-547-6231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)