Healthcare Provider Details

I. General information

NPI: 1013553254
Provider Name (Legal Business Name): VECTOR AEROMEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 05/19/2021
Certification Date: 05/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3149 SWIFT CREEK RD
SMITHFIELD NC
27577-6900
US

IV. Provider business mailing address

PO BOX 25863
WINSTON SALEM NC
27114-5863
US

V. Phone/Fax

Practice location:
  • Phone: 833-742-0911
  • Fax:
Mailing address:
  • Phone: 855-298-4250
  • Fax: 336-946-1768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW TYLER BAIRD
Title or Position: DIRECTOR
Credential: EMT-P
Phone: 919-600-2208