Provider Demographics
NPI:1437292877
Name:AIRBORNE FLYING SERVICE, INC.
Entity Type:Organization
Organization Name:AIRBORNE FLYING SERVICE, INC.
Other - Org Name:AIRBORNE AIR AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FLIGHT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRETA
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:HIGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-624-4545
Mailing Address - Street 1:525 AIRPORT RD STE A1
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-4700
Mailing Address - Country:US
Mailing Address - Phone:501-624-4545
Mailing Address - Fax:
Practice Address - Street 1:525 AIRPORT RD STE A1
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4700
Practice Address - Country:US
Practice Address - Phone:501-624-4545
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR8113416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR47299Medicare ID - Type Unspecified