Provider Demographics
NPI:1326482712
Name:CLASSIC AIR CARE LLC
Entity Type:Organization
Organization Name:CLASSIC AIR CARE LLC
Other - Org Name:CLASSIC LIFEGUARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAY-CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:385-297-3381
Mailing Address - Street 1:5373 S GREEN ST STE 500
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-4680
Mailing Address - Country:US
Mailing Address - Phone:801-295-5700
Mailing Address - Fax:
Practice Address - Street 1:2399 OXFORD WAY
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-4991
Practice Address - Country:US
Practice Address - Phone:801-295-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT3003L3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport