MEDICARE: CLASSIC AIR CARE LLC

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
1	3416A0800X	Air Ambulance	3003L	UT

General Provider Information

NPI Number	:	1326482712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLASSIC AIR CARE LLC

Provider Business Mailing Address
First Line	:	5373 S GREEN ST STE 500
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84123-4756
Country	:	US
Telephone Number	:	801-295-5700
Fax Number	:	385-297-2833

Provider Business Practice Location Address
First Line	:	2399 OXFORD WAY
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-4991
Country	:	US
Telephone Number	:	801-295-5700
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	MIGUEL GARAY-CARSON
Credential	:
Telephone Number	:	385-297-3381

Provider Enumeration Date	:	04/29/2013
Last Update Date	:	02/05/2026

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