Organization Name: | MOUNTAINSTAR AIRCARE CORPORATION |
NPI Number: | 1003206400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH LARS HUNT (PRESIDENT) |
Mailing Address: | 10888 S 300 W South Jordan |
State: | UT US |
Postal Code: | 840954043 |
Phone Number: | 8016194900 |
Fax Number: | 8019836052 |
NPI Enumeration Date: | 01/23/2015 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |