Organization
EAGLES WINGS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RAE COATES (SOLE PROPRIETOR/OWNER)
(503) 507-4185
Entity
Organization
Contact information
Practice address
199 VALLEY COURT, CHALLIS, ID 83226
(503) 507-4185
(208) 879-2516
Mailing address
PO BOX 209, 199 VALLEY COURT, CHALLIS, ID 83226-0209
(503) 507-4185
(208) 879-2516
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
ID
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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