Provider Demographics
NPI:1093971608
Name:XPRESS NON-EMERGENCY MEDICAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:XPRESS NON-EMERGENCY MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:FITZROY
Authorized Official - Middle Name:ONEIL
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-476-4811
Mailing Address - Street 1:20805 GILL RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-5239
Mailing Address - Country:US
Mailing Address - Phone:248-476-4811
Mailing Address - Fax:248-476-4614
Practice Address - Street 1:20805 GILL RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-5239
Practice Address - Country:US
Practice Address - Phone:248-476-4811
Practice Address - Fax:248-476-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)