Mountain Lifeflight L P

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

MOUNTAIN LIFEFLIGHT L P

Practice address

650 Ash St
Susanville, CA 96130-3714

Phone

(530) 257-0249

NPI assigned

Mar 20, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Monique M Hubanks

Title

Manger

Phone

(530) 257-0249

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Mountain Lifeflight2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mountain Lifeflight

  • Air Ambulance
  • Susanville, CA
  • NPI 1659452597
  NPD tax ID

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073638094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961300711",
            "telephone_number": "530-257-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 ASH ST",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961303714",
            "telephone_number": "530-257-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LIFEFLIGHT L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUBANKS",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "530-257-0249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTA00754F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Moore
• Brian Moore
• Christopher Wayne Morgan, M.D.
• Linda Mosley, PSYD, LCSW
• Mountain Lifeflight
• Mountain Lifeflight, Inc.
• Daisy Murdock
• Todd Edward Murray, PSY.D.
• Edward Franklin Mussen
• Christi Shannon Myers, RN

• Air Ambulance in Susanville, CA
• Providers in Susanville, CA by specialty
• Air Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.