Provider Demographics
NPI:1235558891
Name:INTERNATIONAL LIFE FLIGHT, INC.
Entity Type:Organization
Organization Name:INTERNATIONAL LIFE FLIGHT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:F
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-777-2001
Mailing Address - Street 1:1743 E MCNAIR DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-5040
Mailing Address - Country:US
Mailing Address - Phone:480-777-8001
Mailing Address - Fax:480-777-2011
Practice Address - Street 1:1743 E MCNAIR DR
Practice Address - Street 2:SUITE 300
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-5040
Practice Address - Country:US
Practice Address - Phone:480-777-8001
Practice Address - Fax:480-777-2011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7743416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport