Provider Demographics
NPI:1821447863
Name:AIR AMBULANCE 911
Entity Type:Organization
Organization Name:AIR AMBULANCE 911
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:ENRIQUE
Authorized Official - Last Name:SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-261-1716
Mailing Address - Street 1:2440 W MISSION LN STE 5
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2824
Mailing Address - Country:US
Mailing Address - Phone:623-261-1716
Mailing Address - Fax:
Practice Address - Street 1:2390 E CAMELBACK RD STE 130
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-3449
Practice Address - Country:US
Practice Address - Phone:623-261-1716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-09
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No305R00000XManaged Care OrganizationsPreferred Provider Organization