Provider Demographics
NPI:1710091327
Name:AEROMEDEVAC INC.
Entity Type:Organization
Organization Name:AEROMEDEVAC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:O
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-284-7910
Mailing Address - Street 1:1860 JOE CROSSON DR STE I
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1263
Mailing Address - Country:US
Mailing Address - Phone:619-284-7910
Mailing Address - Fax:619-284-7918
Practice Address - Street 1:1860 JOE CROSSON DR STE I
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-1263
Practice Address - Country:US
Practice Address - Phone:619-284-7910
Practice Address - Fax:619-284-7918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZ473Medicare ID - Type Unspecified