Organization Name: | CLASSIC AIR CARE INC |
NPI Number: | 1003855446 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIKO MARTIAN (DIRECTOR OF FINANCE) |
Mailing Address: | 2244 South 1640 West Woods Cross |
State: | UT US |
Postal Code: | 84087 |
Phone Number: | 8012955700 |
Fax Number: | 8016490963 |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | 3003L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |