Healthcare Provider Details

I. General information

NPI: 1821264532
Provider Name (Legal Business Name): MERCY AIR SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 E CALVADA BLVD
PAHRUMP NV
89048
US

IV. Provider business mailing address

PO BOX 84621
SEATTLE WA
98124-5921
US

V. Phone/Fax

Practice location:
  • Phone: 775-751-1114
  • Fax:
Mailing address:
  • Phone: 800-499-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License NumberM 462 SC
License Number StateNV

VIII. Authorized Official

Name: CHRISTOPHER J BRADY
Title or Position: SECRETARY
Credential:
Phone: 800-499-9495