NPI 1205964178

Statewide Healthcare Services, LLC

Organisation Private Vehicle Jackson, MS

Practice location

Address: 3829 I-55 North, Jackson, MS 39211
Phone: (800) 898-0981
Fax: (601) 982-7462
Mailing address: 33 S State St Fl 5, Chicago, IL 60603-2804

Authorised official

Name: Joseph Bonaccorsi
Title: Chief Legal Officer
Phone: (312) 762-9999

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1205964178
Entity type: Organization
NPI issued: 1 Mar 2007
Record last updated: 16 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.