Active NPI
Eagles Wings Transportation
- Non-emergency Medical Transport (VAN)
- Challis, ID
National Provider Identifier
1306299151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- EAGLES WINGS TRANSPORTATION
- Practice address
- 199 Valley Court
Challis, ID 83226 - Phone
- (503) 507-4185
- Fax
- (208) 879-2516
- NPI assigned
- Jul 18, 2016
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kimberly Rae Coates
- Title
- Sole Proprietor/Owner
- Phone
- (503) 507-4185
National Provider Directory
National Provider Directory- Tax ID family
- Eagles Wings Transportation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Challis, ID
- NPI 1295276590
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
199 Valley Court
Challis, ID 83226
Mailing address
PO Box 209
199 Valley Court
Challis, ID 83226-0209
Phone (503) 507-4185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2016.
{
"created_epoch": "1468800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468800000000",
"number": "1306299151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"address_2": "199 VALLEY COURT",
"city": "CHALLIS",
"state": "ID",
"postal_code": "832260209",
"telephone_number": "503-507-4185",
"fax_number": "208-879-2516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 VALLEY COURT",
"city": "CHALLIS",
"state": "ID",
"postal_code": "83226",
"telephone_number": "503-507-4185",
"fax_number": "208-879-2516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLES WINGS TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-18",
"last_updated": "2016-07-18",
"status": "A",
"authorized_official_last_name": "COATES",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "SOLE PROPRIETOR/OWNER",
"authorized_official_telephone_number": "503-507-4185"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Challis, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.