Organization Name: | EAGLE AIR MED |
NPI Number: | 1538115332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH L HUNT (PRESIDENT) |
Mailing Address: | Crownpoint Municipal Airport Crownpoint |
State: | NM US |
Postal Code: | 87313 |
Phone Number: | 4356783222 |
Fax Number: | 4356783425 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | F0009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |