Organization Active NPI

Air Affiliates Inc

  • Durable Medical Equipment & Medical Supplies
  • Jellico, TN
National Provider Identifier
1275548612
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0000000501 Issued in TN
Legal business name
AIR AFFILIATES INC
Practice address
290 North Main St
Jellico, TN 37762-2132
Phone
(423) 784-0988
Fax
(423) 784-0986
NPI assigned
Jul 31, 2006
Organization subpart
Yes
Parent organization
AIR AFFILIATES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Authorized official

Name
Mark L Curtis
Title
Cfo
Phone
(615) 460-0017

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0000000501 TN Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 0000000501 TN
Clinic Pharmacy 3336C0002X 0000001805 TN
Prosthetic/Orthotic Supplier 335E00000X 22309 TN

Addresses

Primary practice location

290 North Main St
Jellico, TN 37762-2132

Mailing address

PO Box 90508
Nashville, TN 37209-0508
Phone (615) 460-0017

Other identifiers 6

IdentifierTypeStateIssuer
90004185MedicaidKY
54005160OtherKYFIRST HEALTH
000001226566OtherTNCHA HEALTH
040032400OtherTNDOL DCMWC
557723400OtherTNDOL DCMWC PHARM
10293OtherTNSUNBELT MEDICAL

National Provider Directory

National Provider Directory
Part of
Air Affiliates Inc

Locations

290 N Main St
Jellico, TN 37762
Phone (423) 784-0988

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1275548612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90508",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372090508",
            "telephone_number": "615-460-0017",
            "fax_number": "615-463-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NORTH MAIN ST",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622132",
            "telephone_number": "423-784-0988",
            "fax_number": "423-784-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR AFFILIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR AFFILIATES INC",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-460-0017"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "0000000501",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000000501",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "TN",
            "license": "0000001805",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "22309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90004185",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "54005160",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH",
            "identifier": "000001226566",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL DCMWC",
            "identifier": "040032400",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL DCMWC PHARM",
            "identifier": "557723400",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUNBELT MEDICAL",
            "identifier": "10293",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.