Organization
WHITE TAIL TRANSPORTATION, INC.
Active
Other names
White Tail Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN J TALLEY (OWNER)
(509) 682-4424
Entity
Organization
Contact information
Practice address
5486 HIGHWAY 2 STE 102, PRIEST RIVER, ID 83856-6072
(208) 448-0848
(208) 448-0846
Mailing address
PO BOX 2124, PRIEST RIVER, ID 83856-2124
(208) 448-0848
(208) 448-0846
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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