Provider Demographics
NPI:1275835670
Name:EXPRESS TRANSPORTATION SYSTEMS, INC.
Entity Type:Organization
Organization Name:EXPRESS TRANSPORTATION SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MESFIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-222-2291
Mailing Address - Street 1:6782 COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-1118
Mailing Address - Country:US
Mailing Address - Phone:951-222-2291
Mailing Address - Fax:951-369-3049
Practice Address - Street 1:6782 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-1118
Practice Address - Country:US
Practice Address - Phone:951-222-2291
Practice Address - Fax:951-369-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-17
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CATCP0021897343900000X
CA3446000000X344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi