| Organization Name: | EXECUTIVE AIR TAXI CORP. |
| NPI Number: | 1720398464 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CALLEN CERMAK (CFO) |
| Mailing Address: | 8295 7th Ave Se Linton |
| State: | ND US |
| Postal Code: | 585529011 |
| Phone Number: | 7012545755 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2010 |
| NPI Last Update Date: | 04/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416A0800X |
| License Number: | 0982 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SD |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Air Transport |
| Taxonomy Definition: | |