Provider Demographics
NPI:1851785646
Name:CONTINENTAL AEROMEDICAL GROUP LLC
Entity Type:Organization
Organization Name:CONTINENTAL AEROMEDICAL GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-607-7830
Mailing Address - Street 1:1111 BRICKELL BAY DR
Mailing Address - Street 2:APT 2901
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-2950
Mailing Address - Country:US
Mailing Address - Phone:619-607-7830
Mailing Address - Fax:
Practice Address - Street 1:1111 BRICKELL BAY DR
Practice Address - Street 2:APT 2901
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-2950
Practice Address - Country:US
Practice Address - Phone:619-607-7830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport