Provider Demographics
NPI:1518666197
Name:AXIOM AVIATION GROUP, LLC
Entity Type:Organization
Organization Name:AXIOM AVIATION GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIEF PILOT
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-424-9478
Mailing Address - Street 1:20984 KAFIR RD
Mailing Address - Street 2:
Mailing Address - City:WEBB CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64870-8110
Mailing Address - Country:US
Mailing Address - Phone:913-424-9478
Mailing Address - Fax:417-281-3511
Practice Address - Street 1:77 WEST HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:MO
Practice Address - Zip Code:64759
Practice Address - Country:US
Practice Address - Phone:913-424-9478
Practice Address - Fax:417-281-3511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport