Provider Demographics
NPI:1649292749
Name:OPEN AIRWAYS, INC
Entity type:Organization
Organization Name:OPEN AIRWAYS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONTRENIA
Authorized Official - Middle Name:MARLEASE
Authorized Official - Last Name:SHULTERBRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-673-3769
Mailing Address - Street 1:1035 WEST 25TH STREET
Mailing Address - Street 2:SUITE F1
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517
Mailing Address - Country:US
Mailing Address - Phone:757-673-3769
Mailing Address - Fax:866-242-5540
Practice Address - Street 1:1035 WEST 25TH STREET
Practice Address - Street 2:SUITE F-1
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517
Practice Address - Country:US
Practice Address - Phone:757-673-3769
Practice Address - Fax:866-242-5540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5328960001Medicare NSC