MEDICARE: AIRMED INTERNATIONAL, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416A0800X	Air Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51518902	OTHER	AL	BCBS OF AL

General Provider Information

NPI Number	:	1265439467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIRMED INTERNATIONAL, LLC

Provider Business Mailing Address
First Line	:	1000 URBAN CENTER DR
Second Line	:	SUITE 470
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2532
Country	:	US
Telephone Number	:	205-443-4840
Fax Number	:	205-443-4841

Provider Business Practice Location Address
First Line	:	1000 URBAN CENTER DR
Second Line	:	SUITE 470
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-2532
Country	:	US
Telephone Number	:	205-443-4840
Fax Number	:	205-443-4841

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. JEFFREY T. TOLBERT
Credential	:
Telephone Number	:	205-443-4840

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	08/22/2020

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