Healthcare Provider Details

I. General information

NPI: 1386730984
Provider Name (Legal Business Name): OMNIFLIGHT HELICOPTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3105 AIRMANS DRIVE
FORT PIERCE FL
34946
US

IV. Provider business mailing address

PO BOX 6119
MESA AZ
85216-6119
US

V. Phone/Fax

Practice location:
  • Phone: 772-766-9889
  • Fax:
Mailing address:
  • Phone: 800-760-1583
  • Fax: 480-988-3843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number000417
License Number StateFL

VIII. Authorized Official

Name: MARNIE REDMOND
Title or Position: DIRECTOR OF COMPLIANCE
Credential:
Phone: 800-760-1583