Provider Demographics
NPI:1518979558
Name:MEDEVAC AIR AMBULANCE INC
Entity type:Organization
Organization Name:MEDEVAC AIR AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICO
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPONIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-232-0171
Mailing Address - Street 1:316 CALIFORNIA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-1650
Mailing Address - Country:US
Mailing Address - Phone:775-201-5445
Mailing Address - Fax:
Practice Address - Street 1:316 CALIFORNIA AVE STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1650
Practice Address - Country:US
Practice Address - Phone:775-201-5445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV08 4433416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport