SUPERIOR AMBULANCE AVIATION INC NPI 1518558063

NPI Information

NPI: 1518558063
Provider Name: SUPERIOR AMBULANCE AVIATION, INC
Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

CLIA Number: 14D0692412

Address:
395 W LAKE ST
ELMHURST, IL
ZIP 60126
Phone: (630) 832-2012
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SUPERIOR AMBULANCE AVIATION, INC is an air transport ambulance in Elmhurst, IL. SUPERIOR AMBULANCE AVIATION, INC NPI is 1518558063. The provider is registered as an organization entity type.

The provider's business location address is:

395 W LAKE ST
ELMHURST, IL
ZIP 60126-508
Phone: (630) 832-2012

The provider's authorized official is Jonathon Moloney .
The authorized official title is Ar Manager and has the following contact phone number (630) 903-2260.

The CLIA number assigned to this NPI record is 14D0692412 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 1/28/2021.

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	344800000X	Air Carrier				No
2	3416A0800X	Ambulance	Air 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: 5/5/2024

NPI Synchronization or Removal

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