Provider Demographics
NPI:1124402334
Name:ISLAND AIRLINES, LLC
Entity Type:Organization
Organization Name:ISLAND AIRLINES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FLIGHT NURSE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMEJO NELTHROPP
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-310-7915
Mailing Address - Street 1:RR 1 BOX 9933
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00850-9716
Mailing Address - Country:US
Mailing Address - Phone:305-310-7915
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 9933
Practice Address - Street 2:
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850-9716
Practice Address - Country:US
Practice Address - Phone:305-310-7915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI2146691L3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport