Organization Name: | HAYNES LIFE FLIGHT LLC |
NPI Number: | 1457776197 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIRK EDWIN BARRETT (COO) |
Mailing Address: | 545 Hospital Dr Wetumpka |
State: | AL US |
Postal Code: | 360921626 |
Phone Number: | 3342415224 |
Fax Number: | 3345676850 |
NPI Enumeration Date: | 03/04/2014 |
NPI Last Update Date: | 04/11/2014 |
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: |