MEDICARE: ATI JET INC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902891161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATI JET INC

Provider Business Mailing Address
First Line	:	7007 BOEING DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1109
Country	:	US
Telephone Number	:	800-527-2767
Fax Number	:

Provider Business Practice Location Address
First Line	:	7007 BOEING DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79925-1109
Country	:	US
Telephone Number	:	800-527-2767
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. DEEANNA UNDERHILL
Credential	:
Telephone Number	:	800-527-2767

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	01/28/2009

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Directions to “ATI JET INC ” Practice Location

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