Provider Demographics
NPI:1093152878
Name:PC XPRESS INC
Entity Type:Organization
Organization Name:PC XPRESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PIPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-204-8545
Mailing Address - Street 1:6143 VICTORIA CT
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1800
Mailing Address - Country:US
Mailing Address - Phone:708-204-8545
Mailing Address - Fax:708-720-1574
Practice Address - Street 1:6143 VICTORIA CT
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1800
Practice Address - Country:US
Practice Address - Phone:708-204-8545
Practice Address - Fax:708-720-1574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)