Provider Demographics
NPI:1578086633
Name:AIR TEAM 1 LLC
Entity Type:Organization
Organization Name:AIR TEAM 1 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:BOTHWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-221-0532
Mailing Address - Street 1:6312 SEVEN CORNERS CTR STE 354
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2409
Mailing Address - Country:US
Mailing Address - Phone:971-221-0532
Mailing Address - Fax:
Practice Address - Street 1:384 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3006
Practice Address - Country:US
Practice Address - Phone:703-598-5143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2017-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport