Provider Demographics
NPI:1558651133
Name:ARCHANGEL AIR AMBULANCE INC.
Entity Type:Organization
Organization Name:ARCHANGEL AIR AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HELENIC
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:480-636-8682
Mailing Address - Street 1:12251 N 74TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4728
Mailing Address - Country:US
Mailing Address - Phone:480-636-8682
Mailing Address - Fax:
Practice Address - Street 1:12251 N 74TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-4728
Practice Address - Country:US
Practice Address - Phone:480-636-8682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2011-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport