EXECUTIVE AIR TAXI CORP. NPI 1720398464

NPI Information

NPI: 1720398464
Provider Name: EXECUTIVE AIR TAXI CORP.
Classification: Ambulance - 3416A0800X
Specialization: Air Transport
Entity Type: Organization
Doing Business As: ANGEL AIR CARE
Address: 8295 7TH AVE SE
LINTON, ND
ZIP 58552
Phone: (701) 254-5755

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NPI Details

EXECUTIVE AIR TAXI CORP. is an air transport ambulance in Linton, ND. EXECUTIVE AIR TAXI CORP. NPI is 1720398464. The provider is registered as an organization entity type.
The provider Is Doing Business As Angel Air Care.

The provider's business location address is:

8295 7TH AVE SE
LINTON, ND
ZIP 58552-011
Phone: (701) 254-5755

The provider's authorized official is Callen Cermak .
The authorized official title is Cfo and has the following contact phone number (701) 258-5024.

The enumeration date for this NPI number is 10/15/2010 and was last updated on 4/25/2011.

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	0982	SOUTH DAKOTA	No
2	3416A0800X	Ambulance	Air Transport	681	NORTH DAKOTA	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
1	N714975	MEDICARE UPIN	NORTH DAKOTA
2	N714975	MEDICARE UPIN	SOUTH DAKOTA
3	54188	MEDICAID	NORTH DAKOTA

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: 11/21/2025

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