Organization
STAGE COACH MEDICAL TRANSPORT, LLC
Active
Parent organization
STAGE COACH MEDICAL TRANSPORT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAGE COACH MEDICAL TRANSPORT, LLC
Authorized official
KELVIN D WYNN (OWNER/ CEO)
(576) 340-0396
Entity
Organization
Contact information
Practice address
2202 E 48TH ST, DAVENPORT, IA 52807-1214
(563) 340-0396
(563) 271-8756
Mailing address
2202 E 48TH ST, DAVENPORT, IA 52807-1214
(563) 340-0396
(563) 271-8756
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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