NPIMap

Organization Active NPI

Gateway Air Ambulance Inc.

  • Air Ambulance
  • Tempe, AZ
National Provider Identifier
1578609418
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
06-0009 Issued in AZ
Legal business name
GATEWAY AIR AMBULANCE INC.
Practice address
60 E. Rio Salado Parkway
Suite 900
Tempe, AZ 85281
Phone
(913) 663-5535
Fax
(913) 663-1503
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
David Carl Carlson
Title
Vice President
Phone
(913) 663-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 06-0009 AZ Primary

Addresses

Primary practice location

60 E. Rio Salado Parkway
Suite 900
Tempe, AZ 85281

Mailing address

P.O. Box 26785
Overland Park, KS 66225-6785
Phone (913) 663-5535

Other identifiers 1

IdentifierTypeStateIssuer
184638MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3201 E Airport Loop
Show Low, AZ 85901
Phone (928) 532-0818

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1578609418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 26785",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662256785",
            "telephone_number": "913-663-5535",
            "fax_number": "913-663-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E. RIO SALADO PARKWAY",
            "address_2": "SUITE 900",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "913-663-5535",
            "fax_number": "913-663-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY AIR AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "913-663-5535"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "AZ",
            "license": "06-0009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184638",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.