Organization
PEGASUS TRANSPORT LLC
Active
Organization
PEGASUS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE TAELE (AGENT/MEMBER)
(808) 354-5339
Entity
Organization
Contact information
Practice address
91-1011 AWAWALEI PL, EWA BEACH, HI 96706-4727
(808) 354-5339
Mailing address
91-1011 AWAWALEI PL, EWA BEACH, HI 96706-4727
(808) 354-5339
(808) 888-8045
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
W18227148-01
HI
Other
Enumeration date
07/02/2009
Last updated
10/30/2009
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