# EAGLES WINGS TRANSPORTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295276590
- **Authorized official:** KIMBERLY R COATES (OWNER OPERATOR)
- **Authorized official phone:** (503) 507-4185

## Contact information

- **Practice address:** 199 VALLEY CT, CHALLIS, ID 83226
- **Practice address phone:** (503) 507-4185
- **Mailing address:** PO BOX 209, CHALLIS, ID 83226-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | NS101615A | ID | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017
