Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Air Transport |
3416A0800X | 59 | Ambulance Service Provider |
| NPI # | 1649485046 |
| LBN Legal business name | CRITICAL CARE MEDFLIGHT |
| Authorized official | JEFF GUSTAFSON - (MEDFLIGHT DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/11/2007 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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