Provider Demographics
NPI:1144345547
Name:SUNBIRD AVIATION
Entity type:Organization
Organization Name:SUNBIRD AVIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PILOT
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGG
Authorized Official - Middle Name:
Authorized Official - Last Name:FULLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-388-4443
Mailing Address - Street 1:PO BOX 808
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-0808
Mailing Address - Country:US
Mailing Address - Phone:406-388-4443
Mailing Address - Fax:
Practice Address - Street 1:456 GALLATIN FIELD RD
Practice Address - Street 2:
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-8544
Practice Address - Country:US
Practice Address - Phone:406-388-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343800000XTransportation ServicesSecured Medical Transport (VAN)
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)