Provider Demographics
NPI:1841273687
Name:EXPRESS SERVICES INC.
Entity type:Organization
Organization Name:EXPRESS SERVICES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:PETE
Authorized Official - Last Name:MOTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-722-7171
Mailing Address - Street 1:6300 NW EXPRESSWAY
Mailing Address - Street 2:SUITE, 204
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73132-5128
Mailing Address - Country:US
Mailing Address - Phone:405-722-7171
Mailing Address - Fax:
Practice Address - Street 1:6300 NW EXPRESSWAY
Practice Address - Street 2:SUITE, 204
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73132-5128
Practice Address - Country:US
Practice Address - Phone:405-722-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-25
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7756251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK37-7688Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER