Provider Demographics
NPI:1164906541
Name:RRR AIR EVAC, LLC
Entity Type:Organization
Organization Name:RRR AIR EVAC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHEYENNE
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:LORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-777-8377
Mailing Address - Street 1:PO BOX 1561
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-1561
Mailing Address - Country:US
Mailing Address - Phone:517-777-8377
Mailing Address - Fax:308-365-6804
Practice Address - Street 1:160 N SHORE LN
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-5204
Practice Address - Country:US
Practice Address - Phone:480-719-7153
Practice Address - Fax:308-365-6804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No347E00000XTransportation ServicesTransportation Broker