MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICE INC. NPI 1336245463

NPI Information

NPI: 1336245463
Provider Name: MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICE, INC.

Doing Business As: HOSPITAL WING

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
1080 EASTMORELAND AVE
MEMPHIS, TN
ZIP 38104
Phone: (901) 522-5321
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MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICE, INC. is an air transport ambulance in Memphis, TN. MEMPHIS MEDICAL CENTER AIR AMBULANCE SERVICE, INC. NPI is 1336245463. The provider is registered as an organization entity type.
The provider Is Doing Business As Hospital Wing.

The provider's business location address is:

1080 EASTMORELAND AVE
MEMPHIS, TN
ZIP 38104-327
Phone: (901) 522-5321

The provider's authorized official is John A. Butora .
The authorized official title is Ceo and has the following contact phone number (901) 522-5321.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 1/27/2015.

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	EMS0000009906	TENNESSEE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	148123715	MEDICAID	ARKANSAS
2	160813501	MEDICAID	TEXAS
3	805962206	MEDICAID	MISSOURI
4	4043897	OTHER	TENNESSEE	BC/BS
5	590015462	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	RAILROAD MEDICARE
6	00553958	MEDICAID	MISSISSIPPI
7	3574476	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
8	3574476	MEDICAID	TENNESSEE
9	22924	OTHER	TENNESSEE	TLC
10	55982	OTHER	TENNESSEE	TENNCARE OMNICARE/DORAL
11	132775	OTHER	TENNESSEE	TENNCARE BETTER HEALTH
12	5500075600	MEDICAID	KENTUCKY
13	4043897	OTHER	TENNESSEE	TENNCARE SELECT

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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