Provider Demographics
NPI:1538525019
Name:NORTH FLIGHT AERO MED
Entity type:Organization
Organization Name:NORTH FLIGHT AERO MED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SVACHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-391-5310
Mailing Address - Street 1:5452 44TH ST SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49512-4093
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
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:800-858-7141
Practice Address - Fax:231-935-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-13
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport