Provider Demographics
NPI:1821311374
Name:AIR CRITICAL CARE, LLC
Entity Type:Organization
Organization Name:AIR CRITICAL CARE, LLC
Other - Org Name:ACC MEDLINK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAELA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEAT
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-S
Authorized Official - Phone:941-639-9119
Mailing Address - Street 1:25591 TECHNOLOGY BLVD
Mailing Address - Street 2:UNIT A
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-4701
Mailing Address - Country:US
Mailing Address - Phone:941-639-9119
Mailing Address - Fax:941-761-5838
Practice Address - Street 1:25591 TECHNOLOGY BLVD
Practice Address - Street 2:UNIT A
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-4701
Practice Address - Country:US
Practice Address - Phone:941-639-9119
Practice Address - Fax:941-761-5838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport