Organization
PEGASUS MEDICAL TRANSPORT, LLC
Active
Parent organization
PEGASUS MEDICAL TRANSPORT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEGASUS MEDICAL TRANSPORT, LLC
Authorized official
MR. WAYNE KENNETH SHOVER (PRESIDENT)
(540) 656-6942
Entity
Organization
Contact information
Practice address
7233 TOWLES MILL ROAD, SPOTSYLVANIA, VA 22551
(540) 656-6942
Mailing address
7233 TOWLES MILL ROAD, SPOTSYLVANIA, VA 22551
(540) 656-6942
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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