Provider Demographics
NPI:1376021964
Name:USA EXPRESS, INC.
Entity Type:Organization
Organization Name:USA EXPRESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-368-4656
Mailing Address - Street 1:104 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:ROLLA
Mailing Address - State:MO
Mailing Address - Zip Code:65401-2866
Mailing Address - Country:US
Mailing Address - Phone:573-368-4656
Mailing Address - Fax:
Practice Address - Street 1:104 E 11TH ST
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:MO
Practice Address - Zip Code:65401-2866
Practice Address - Country:US
Practice Address - Phone:573-368-4656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker