Provider Demographics
NPI:1225346992
Name:MERCY JETS WORLDWIDE AIR AMBULANCE, LLC.
Entity Type:Organization
Organization Name:MERCY JETS WORLDWIDE AIR AMBULANCE, LLC.
Other - Org Name:MERCY JETS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-314-8070
Mailing Address - Street 1:3039 W PEORIA AVE
Mailing Address - Street 2:C102-118
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85029-5212
Mailing Address - Country:US
Mailing Address - Phone:602-314-8070
Mailing Address - Fax:
Practice Address - Street 1:14256 N NORTHSIGHT BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3953
Practice Address - Country:US
Practice Address - Phone:602-314-8070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport