EXECUTIVE AIR TAXI CORP.; NPI #1881990745

Contact Information

EXECUTIVE AIR TAXI CORP.

2301 UNIVERSITY DR
BISMARCK, ND 58504-7595

Phone: 701-321-1456
Fax: 701-258-2693
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 EXECUTIVE AIR TAXI CORP.

NPI # 1881990745

LBN Legal business name EXECUTIVE AIR TAXI CORP.

Authorized official CALLEN CERMAK - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/09/2011

Last updated 03/09/2012 - About 14 years ago

Identifiers

ND	License #	681
SD	License #	0982
ND	Medicaid	54188
SD	Medicaid	1881990745

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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EXECUTIVE AIR TAXI CORP.

Contact Information

Specialty

Air Transport

NPI Profile & details for EXECUTIVE AIR TAXI CORP.

Reviews for EXECUTIVE AIR TAXI CORP.