Provider Demographics
NPI:1760355788
Name:DIAMOND FLIGHT MEDICAL, LLC
Entity type:Organization
Organization Name:DIAMOND FLIGHT MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP CUSTOMER SERVICE
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:B
Authorized Official - Last Name:DODWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-701-3085
Mailing Address - Street 1:PO BOX 2435
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71914-2435
Mailing Address - Country:US
Mailing Address - Phone:501-624-4545
Mailing Address - Fax:404-506-9918
Practice Address - Street 1:1018 AIRPORT RD STE 114
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4626
Practice Address - Country:US
Practice Address - Phone:501-624-4545
Practice Address - Fax:404-506-9918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty