Provider Demographics
NPI:1346556859
Name:ELITE MEDICAL AIR TRANSPORT, LLC
Entity Type:Organization
Organization Name:ELITE MEDICAL AIR TRANSPORT, LLC
Other - Org Name:EMERGENT AIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-333-9494
Mailing Address - Street 1:7201 BOEING DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-1113
Mailing Address - Country:US
Mailing Address - Phone:915-333-9494
Mailing Address - Fax:915-232-9872
Practice Address - Street 1:7201 BOEING DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-1113
Practice Address - Country:US
Practice Address - Phone:915-333-9494
Practice Address - Fax:915-232-9872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM16301552Medicaid
TX3594681Medicaid