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NPI Code Detail

MEDICARE: AIRSTATION TRAVERSE CITY

MEDICARE: AIRSTATION TRAVERSE CITY
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
1302F00000XExclusive Provider Organization45189021WI

General Provider Information

NPI Number : 1760415137
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIRSTATION TRAVERSE CITY
Provider Business Mailing Address
First Line : 2012 E FRONT ST
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3023
Country : US
Telephone Number : 231-631-4660
Fax Number : 231-922-8292
Provider Business Practice Location Address
First Line : 1175 AIRPORT ACCESS RD
Second Line : FLIGHT MED CLINIC
City : TRAVERSE CITY
State : MI
Zip : 49686-3513
Country : US
Telephone Number : 231-922-8282
Fax Number : 231-922-8292
Authorized Official
Title or Position : HS3
Name : MRS. ELVIRA FABIOLA LOMBARDO
Credential : HEALTH SERVICES TECH
Telephone Number : 231-922-8282
Provider Enumeration Date : 07/09/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1275508665 — MR. ANTHONY WAYNE OLDHAM
Practice Location Address:
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
49686-3513
Practice Phone: 231-922-8282
Practice Fax: 231-922-8292
1477528768 — MISS CRYSTAL MARIE SYNKIEW
Practice Location Address:
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
49686-3513
Practice Phone: 231-922-8211
Practice Fax:
1952376212 — ADRIANO OLIVEIRA SILVA
Practice Location Address:
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
49686-3513
Practice Phone: 231-922-8357
Practice Fax:
1184699456 — MRS. ELVIRA F LOMBARDO
Practice Location Address:
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
49686-3513
Practice Phone: 231-922-8282
Practice Fax: 231-922-8292
1265407191 — MR. MATTHEW TODD BENTON CORPSMAN
Practice Location Address:
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
49686-3513
Practice Phone: 231-922-8282
Practice Fax: 231-922-8292
1568437358 — MISS LISA JEAN PRICE
Practice Location Address:
1175 AIRPORT ACCESS RD
TRAVERSE CITY, MI
49686-3513
Practice Phone: 231-922-8282
Practice Fax: 231-922-8292

Directions to “AIRSTATION TRAVERSE CITY ” Practice Location

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