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Organization

COASTAL TRANSPORT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY ANDREWS (CFO)
(360) 482-4818
Entity
Organization

Contact information

Practice address
117 S MAPLE ST, ABERDEEN, WA 98520-4563
(360) 482-4818
Mailing address
PO BOX 697, ELMA, WA 98541-0697

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
AMB.ES.60683888
WA
343900000X
Non-emergency Medical Transport (VAN)
Primary
344600000X
Taxi

Other

Enumeration date
08/19/2015
Last updated
04/18/2017
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