Provider Demographics
NPI:1841341013
Name:INTENSIVE AIR, INC.
Entity type:Organization
Organization Name:INTENSIVE AIR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFTON
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAROTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-926-2490
Mailing Address - Street 1:8830 S TAMIAMI TRL
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3110
Mailing Address - Country:US
Mailing Address - Phone:941-926-2490
Mailing Address - Fax:941-536-2006
Practice Address - Street 1:8830 S TAMIAMI TRL
Practice Address - Street 2:SUITE 100
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3110
Practice Address - Country:US
Practice Address - Phone:941-926-2490
Practice Address - Fax:941-536-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30433416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02073572Medicaid
MN094930200Medicaid
KS200422840AMedicaid
ME431795400Medicaid
KY7100054690Medicaid
OH2768394Medicaid
GA701589134AMedicaid
WA9058371Medicaid
CT003114725Medicaid
WY123082400Medicaid
TN4582541Medicaid
NJ8335401Medicaid
VT1010713Medicaid
MI4691392Medicaid
AZ501610Medicaid
NC3406990Medicaid
IA1841341013Medicaid
MT1841341013Medicaid
MD337504800Medicaid
UT1841341013Medicaid
FL001472600Medicaid
OK100817540AMedicaid
IN200263030Medicaid
CO22638571Medicaid
ID808096900Medicaid
KS200422840AMedicaid
MI4691392Medicaid
GA701589134AMedicaid