MEDICARE: AMERICAN AIR ASSISTANCE 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	3416L0300X	Land Ambulance
2	3416A0800X	Air Ambulance

General Provider Information

NPI Number	:	1760976963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN AIR ASSISTANCE LLC

Provider Business Mailing Address
First Line	:	201 E 5TH ST STE 146
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-3658
Country	:	US
Telephone Number	:	888-866-8158
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E 5TH ST STE 146
Second Line	:
City	:	SHERIDAN
State	:	WY
Zip	:	82801-3658
Country	:	US
Telephone Number	:	888-866-8158
Fax Number	:

Authorized Official
Title or Position	:	INVESTER
Name	:	MR. TODD A LOEWE
Credential	:
Telephone Number	:	602-680-0498

Provider Enumeration Date	:	06/20/2018
Last Update Date	:	06/20/2018

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