Provider Demographics
NPI:1467859835
Name:CONTINENTAL AIR AMBULANCE, INC
Entity Type:Organization
Organization Name:CONTINENTAL AIR AMBULANCE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT/CEO/SEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMADO
Authorized Official - Middle Name:
Authorized Official - Last Name:CERVANTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-910-3469
Mailing Address - Street 1:2161 E AVION ST.
Mailing Address - Street 2:BUILDING 1
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761
Mailing Address - Country:US
Mailing Address - Phone:909-910-3469
Mailing Address - Fax:
Practice Address - Street 1:2161 E AVION AVE
Practice Address - Street 2:BUILDING 1
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-8067
Practice Address - Country:US
Practice Address - Phone:909-910-3469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-01
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport