Provider Demographics
NPI:1609025816
Name:ABERDEEN FLYING SERVICE
Entity Type:Organization
Organization Name:ABERDEEN FLYING SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAVEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-225-1384
Mailing Address - Street 1:4430 HWY 12 E
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-9511
Mailing Address - Country:US
Mailing Address - Phone:605-225-1384
Mailing Address - Fax:
Practice Address - Street 1:4430 HWY 12 E
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-9511
Practice Address - Country:US
Practice Address - Phone:605-225-1384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD00373416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport