MEDICARE: HAYNES LIFE FLIGHT 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

General Provider Information

NPI Number	:	1457776197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYNES LIFE FLIGHT LLC

Provider Business Mailing Address
First Line	:	PO BOX 1515
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-0028
Country	:	US
Telephone Number	:	334-241-5224
Fax Number	:	334-567-6850

Provider Business Practice Location Address
First Line	:	545 HOSPITAL DR
Second Line	:
City	:	WETUMPKA
State	:	AL
Zip	:	36092-1626
Country	:	US
Telephone Number	:	334-241-5224
Fax Number	:	334-567-6850

Authorized Official
Title or Position	:	COO
Name	:	MR. KIRK EDWIN BARRETT
Credential	:	NREMT-P
Telephone Number	:	334-241-5268

Provider Enumeration Date	:	03/04/2014
Last Update Date	:	04/11/2014

Similar Medicare Providers

1063476489 — PHYSICIANS CHOICE DIALYSIS OF ALABAMA LLC
Practice Location Address:

125 HOSPITAL DRIVE
WETUMPKA, AL
36092-1626

Practice Phone: 334-514-2037
Practice Fax: 334-514-9568

1407810765 — MR. DANIEL MAYHAN MPT
Practice Location Address:

525 HOSPITAL DR
WETUMPKA, AL
36092-1626

Practice Phone: 334-312-1036
Practice Fax: 334-396-4905

1003004722 — HAYNES AMBULANCES OF WETUMPKA, LLC
Practice Location Address:

527 HOSPITAL DR
WETUMPKA, AL
36092-1626

Practice Phone: 334-567-7039
Practice Fax: 334-285-2170

1366623043 — HAYNES AMBULANCE OF ELMORE COUNTY, L.L.C.
Practice Location Address:

527 HOSPITAL DR
WETUMPKA, AL
36092-1626

Practice Phone: 334-567-7039
Practice Fax: 334-567-6850

1093195729 — KAILEY DAVIS NP
Practice Location Address:

525 HOSPITAL DR
WETUMPKA, AL
36092-1626

Practice Phone: 334-567-5626
Practice Fax:

1053844654 — JACKSON HOSPITAL AND CLINIC INC.
Practice Location Address:

515 HOSPITAL DR , SUITE A
WETUMPKA, AL
36092-1626

Practice Phone: 334-293-8588
Practice Fax: 334-293-6978

Directions to “HAYNES LIFE FLIGHT LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.