Medivac Air Rescue, Inc.

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

MEDIVAC AIR RESCUE, INC.

Practice address

5751 Kroger Dr
Suite 230
Fort Worth, TX 76244-5632

Phone

(877) 260-3575

Fax

(877) 514-2571

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael A Nelson, NREMT-P

Title

President/Ceo

Phone

(877) 260-3575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1477846889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 KROGER DR",
            "address_2": "SUITE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445632",
            "telephone_number": "877-260-3575",
            "fax_number": "877-514-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 KROGER DR",
            "address_2": "SUITE 230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445632",
            "telephone_number": "877-260-3575",
            "fax_number": "877-514-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVAC AIR RESCUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "877-260-3575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Medina-Barron, RN
• Ashley Medina
• Christopher Ariel Medina, D.O.
• Kimberly Medina
• Meditrans Xpress
• Mediwell Inc
• Andree Jared Medlin
• Medmark Treatment Centers of Texas, Inc.
• Medmix Service LLC
• Adrian Medrano

• Air Ambulance in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Air Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.