Provider Demographics
NPI:1295005312
Name:EXPRESS SERVICES UNLIMITED, INC.
Entity Type:Organization
Organization Name:EXPRESS SERVICES UNLIMITED, INC.
Other - Org Name:EXPRESS CARE MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:DUNKS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:541-726-2010
Mailing Address - Street 1:37506 HILLS CREEK ROAD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97478
Mailing Address - Country:US
Mailing Address - Phone:541-726-2010
Mailing Address - Fax:541-747-2090
Practice Address - Street 1:37506 HILLS CREEK ROAD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97478
Practice Address - Country:US
Practice Address - Phone:541-726-2010
Practice Address - Fax:541-747-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)