| Organization Name: | MERCY AIR SERVICE, INC. |
| NPI Number: | 1043675739 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK R KEENE (SR. VP-PBS) |
| Mailing Address: | 1800 Spring Ridge Dr Susanville |
| State: | CA US |
| Postal Code: | 961306100 |
| Phone Number: | 8886364438 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416A0800X |
| License Number: | NOT REQUIRED |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Air Transport |
| Taxonomy Definition: | |