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CLASSIC AIR CARE INC NPI 1003855446


NPI Information

NPI: 1003855446
Provider Name: CLASSIC AIR CARE INC

Doing Business As: CLASSIC LIFEGUARD

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

CLIA Number: 03D1028477

Address:
2244 SOUTH 1640 WEST
WOODS CROSS, UT
ZIP 84087
Phone: (801) 295-5700
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CLASSIC AIR CARE INC is an air transport ambulance in Woods Cross, UT. CLASSIC AIR CARE INC NPI is 1003855446. The provider is registered as an organization entity type.
The provider Is Doing Business As Classic Lifeguard.

The provider's business location address is:

2244 SOUTH 1640 WEST
WOODS CROSS, UT
ZIP 84087
Phone: (801) 295-5700
Fax: (801) 649-0963

The provider's authorized official is Eriko Martian .
The authorized official title is Director Of Finance and has the following contact phone number (801) 295-5700.

The CLIA number assigned to this NPI record is 03D1028477 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/4/2006 and was last updated on 4/16/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416A0800XAmbulanceAir Transport3003LUTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z79525MEDICARE PINARIZONA
2V101568MEDICARE PINNEVADA
3AZ0152510OTHERARIZONABLUE CROSS BLUE SHIELD
4897986MEDICAIDARIZONA
5000090811MEDICARE PINUTAH
6P00169916MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.