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HOME AND AWAY MEDICAL TRANSPORT

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Company Details

Name: HOME AND AWAY MEDICAL TRANSPORT
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 22 Aug 2013 (12 years ago)
Entity Number: 501407
Place of Formation: IDAHO
File Number: 0000501407
ZIP code: 83854
County: Kootenai County
Mailing Address: 1421 W POLELINE AVE POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1528418449

Authorized Person:

Name:
WILLIAM CHARLES HATHAWAY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
343900000X - Non-emergency Medical Transport (VAN)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000917026 2018-04-12
Initial Filing 0000501407 2013-08-22

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State