Provider Demographics
NPI:1548682875
Name:AEROMEDICS AIR AMBULANCE INC.
Entity type:Organization
Organization Name:AEROMEDICS AIR AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHULT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:585-416-5064
Mailing Address - Street 1:13973 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:WATERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14571-9759
Mailing Address - Country:US
Mailing Address - Phone:585-590-7004
Mailing Address - Fax:
Practice Address - Street 1:13973 PARK AVE
Practice Address - Street 2:
Practice Address - City:WATERPORT
Practice Address - State:NY
Practice Address - Zip Code:14571-9759
Practice Address - Country:US
Practice Address - Phone:585-590-7004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport