Medic 1 Air, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

606 Issued in AR

Legal business name

MEDIC 1 AIR, LLC

Doing business as

Medic 1 Air

Practice address

3153 County Road 906
Jonesboro, AR 72401-0916

Phone

(870) 972-0708

NPI assigned

Mar 25, 2008

Organization subpart

No

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

Authorized official

Name

Ryan Keith Kibler

Title

Owner

Phone

(870) 972-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEDIC 1 AIR Doing business as

Locations

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1669644274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E JACKSON ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013107",
            "telephone_number": "870-972-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 COUNTY ROAD 906",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724010916",
            "telephone_number": "870-972-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC 1 AIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "KIBLER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-972-0708"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "AR",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE NUMBER",
            "identifier": "069001",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIC 1 AIR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Necessities of Arkansas, LLC

• Air Ambulance in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Air Ambulance in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.