Organization Active NPI

Eagles Wings Transportation

  • Non-emergency Medical Transport (VAN)
  • Challis, ID
National Provider Identifier
1306299151
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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 Transportation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X ID Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.