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EXECUTIVE AIR TAXI CORP. NPI 1881990745


NPI Information

NPI: 1881990745
Provider Name: EXECUTIVE AIR TAXI CORP.

Doing Business As: ANGEL AIR CARE

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
2301 UNIVERSITY DR
BISMARCK, ND
ZIP 58504
Phone: (701) 321-1456
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EXECUTIVE AIR TAXI CORP. is an air transport ambulance in Bismarck, ND. EXECUTIVE AIR TAXI CORP. NPI is 1881990745. 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:

2301 UNIVERSITY DR
BISMARCK, ND
ZIP 58504-595
Phone: (701) 321-1456
Fax: (701) 258-2693

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 2/9/2011 and was last updated on 3/9/2012.


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 Transport0982SOUTH DAKOTANo
23416A0800XAmbulanceAir Transport681NORTH DAKOTAYes

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
11881990745MEDICAIDSOUTH DAKOTA
254188MEDICAIDNORTH DAKOTA
3N714975MEDICARE PINNORTH DAKOTA
4N714975MEDICARE PINSOUTH 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: 4/28/2024

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