Provider Demographics
NPI:1831273721
Name:NORTH FLIGHT INC
Entity type:Organization
Organization Name:NORTH FLIGHT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-935-6512
Mailing Address - Street 1:1237 HASTINGS ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686-4319
Mailing Address - Country:US
Mailing Address - Phone:800-858-7141
Mailing Address - Fax:231-935-9545
Practice Address - Street 1:1840 STULTZ DR
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49686-3553
Practice Address - Country:US
Practice Address - Phone:800-922-1670
Practice Address - Fax:231-935-9504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2810113416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1985182Medicaid
MI590B80002OtherBLUE CROSS BLUE SHIELD
MI=========001OtherTRICARE
MI590B80002OtherBLUE CROSS BLUE SHIELD