PONDEROSA AVIATION INC NPI 1114490836

NPI Information

NPI: 1114490836
Provider Name: PONDEROSA AVIATION, INC

Doing Business As: PONDEROSA AIR AMBULANCE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
4500 AVIATION WAY
SAFFORD, AZ
ZIP 85546
Phone: (928) 428-7820
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PONDEROSA AVIATION, INC is a land transport ambulance in Safford, AZ. PONDEROSA AVIATION, INC NPI is 1114490836. The provider is registered as an organization entity type.
The provider Is Doing Business As Ponderosa Air Ambulance.

The provider's business location address is:

4500 AVIATION WAY
SAFFORD, AZ
ZIP 85546
Phone: (928) 428-7820
Fax: (928) 428-7824

The provider's authorized official is Rex D Bryce .
The authorized official title is President and has the following contact phone number (928) 428-7820.

The enumeration date for this NPI number is 1/4/2019 and was last updated on 9/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport			No
2	3416L0300X	Ambulance	Land Transport			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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