Professional Air Ambulance

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

PROFESSIONAL AIR AMBULANCE

Practice address

18818 N 62ND Dr
Glendale, AZ 85308-7647

Phone

(623) 261-1716

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By 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

Manny Enrique Salgado

Title

Owner

Phone

(623) 261-1716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1396194627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18818 N 62ND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087647",
            "telephone_number": "623-261-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18818 N 62ND DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087647",
            "telephone_number": "623-261-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL AIR AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "SALGADO",
        "authorized_official_first_name": "MANNY",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-261-1716"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Air Ambulance in Glendale, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.