Classic Air Care Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

3003L Issued in UT

Legal business name

CLASSIC AIR CARE INC

Practice address

2244 South 1640 West
Woods Cross, UT 84087

Phone

(801) 295-5700

Fax

(801) 649-0963

NPI assigned

Jun 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eriko Martian

Title

Director of Finance

Phone

(801) 295-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Classic Lifeguard Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Classic Air Care LLC

  • Air Ambulance
  • Steamboat Springs, CO
  • NPI 1326482712

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1003855446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2244 SOUTH 1640 WEST",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "84087",
            "telephone_number": "801-295-5700",
            "fax_number": "801-443-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2244 SOUTH 1640 WEST",
            "city": "WOODS CROSS",
            "state": "UT",
            "postal_code": "84087",
            "telephone_number": "801-295-5700",
            "fax_number": "801-649-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC AIR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "MARTIAN",
        "authorized_official_first_name": "ERIKO",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "801-295-5700"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "UT",
            "license": "3003L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0152510",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897986",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Lifeguard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madalene E Castaneda
• Lacie Cates, PHARM D
• Catholic Health Initiatives Colorado
• Cherise Cazier, LE
• Qrystel Clages, CMHC
• Shannon L Compton, FNP
• Kurtis Lee Cook, LMT
• Rachelle Cornell, MOT
• Kyle Northrup Cornish, PHARMD
• Brian Curtis, PH.D.

• Air Ambulance in Woods Cross, UT
• Providers in Woods Cross, UT by specialty
• Air Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.