Provider Demographics
NPI:1063843100
Name:TRINITY AIR MEDICAL, INC.
Entity Type:Organization
Organization Name:TRINITY AIR MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-773-7240
Mailing Address - Street 1:60 E RIO SALADO PKWY
Mailing Address - Street 2:#900
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-9124
Mailing Address - Country:US
Mailing Address - Phone:480-773-7240
Mailing Address - Fax:480-304-3429
Practice Address - Street 1:60 E RIO SALADO PKWY
Practice Address - Street 2:#900
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-9124
Practice Address - Country:US
Practice Address - Phone:480-773-7240
Practice Address - Fax:480-304-3429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport