Organization
AMERICOACH SPECIALIZED TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE LEE PIERCE JR. (DIRECTOR)
(414) 231-0465
Entity
Organization
Contact information
Practice address
3960A N 21ST ST, MILWAUKEE, WI 53206-1969
(414) 231-0465
(414) 873-3565
Mailing address
PO BOX 1812, MILWAUKEE, WI 53201-1812
(414) 231-0465
(414) 873-3565
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004801
—
WI
Enumeration date
06/11/2010
Last updated
06/08/2011
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