Active NPI
Mercy Air Service, Inc.
- Air Ambulance
- Susanville, CA
National Provider Identifier
1043675739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- NOT REQUIRED
- Legal business name
- MERCY AIR SERVICE, INC.
- Practice address
- 1800 Spring Ridge Dr
Susanville, CA 96130 - Phone
- (530) 250-5461
- NPI assigned
- Dec 22, 2015
- Organization subpart
- Yes
- Parent organization
- AIR METHODS CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon J Keck
- Title
- Authorized Offical
- Phone
- (303) 792-7400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | NOT REQUIRED | CA | Primary |
Addresses
Primary practice location
1800 Spring Ridge Dr
Susanville, CA 96130
Mailing address
PO Box 84621
Seattle, WA 98124-5921
Phone (909) 915-2305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700885548 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050622000399 | CA | Part B Supplier - Ambulance Service Supplier | 3870538721 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Merced, CA; Visalia, CA; Victorville, CA; Twentynine Palms, CA; Thermal, CA; Susanville, CA; San Diego, CA; San Bernardino, CA… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Air Methods LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531180800000",
"number": "1043675739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84621",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245921",
"telephone_number": "909-915-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 SPRING RIDGE DR",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "96130",
"telephone_number": "530-250-5461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY AIR SERVICE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR METHODS CORPORATION",
"enumeration_date": "2015-12-22",
"last_updated": "2018-07-10",
"status": "A",
"authorized_official_last_name": "KECK",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICAL",
"authorized_official_telephone_number": "303-792-7400"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "CA",
"license": "NOT REQUIRED",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700885548",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.