Provider Demographics
NPI:1588215628
Name:SURVIVAL FLIGHT EMS LLC
Entity type:Organization
Organization Name:SURVIVAL FLIGHT EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAO
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-621-5795
Mailing Address - Street 1:50 N MCCLINTOCK DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-3765
Mailing Address - Country:US
Mailing Address - Phone:480-275-4900
Mailing Address - Fax:
Practice Address - Street 1:2122 NORTH BROADWAY
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-5004
Practice Address - Country:US
Practice Address - Phone:501-887-7500
Practice Address - Fax:870-569-8097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport