Organization
PEGASUS LIFTS NORTHERN UTAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB BRINKERHOFF (CEO)
(801) 695-7042
Entity
Organization
Contact information
Practice address
1361 N 1075 W STE 10, FARMINGTON, UT 84025-2876
(801) 695-7042
Mailing address
1361 N 1075 W STE 10, FARMINGTON, UT 84025-2876
(801) 695-7042
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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