Healthcare Provider Details

I. General information

NPI: 1932412533
Provider Name (Legal Business Name): MEDICAL FLIGHT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 07/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4858 E BASELINE RD SUITE 101
MESA AZ
85206-4638
US

IV. Provider business mailing address

2918 E PARK AVE
GILBERT AZ
85234-6358
US

V. Phone/Fax

Practice location:
  • Phone: 866-380-8090
  • Fax: 866-386-0088
Mailing address:
  • Phone: 866-380-8090
  • Fax: 866-386-0088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416S0300X
TaxonomyWater Ambulance
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL J WARD
Title or Position: MANAGING MEMBER
Credential:
Phone: 480-235-7600