WIREGRASS LIFE FLIGHT; NPI #1063888352

Contact Information

WIREGRASS LIFE FLIGHT

1108 ROSS CLARK CIR
DOTHAN, AL 36301

Phone: 801-619-4900
Fax: 801-983-6052
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for WIREGRASS LIFE FLIGHT

NPI #	`1063888352`
LBN Legal business name	WIREGRASS LIFE FLIGHT
Authorized official	ERIC THOMAS - (SVP OF REVENUE MANAGEMENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	08/20/2015
Last updated	08/03/2018 - About 8 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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