Active NPI
Mercy Air Service Inc
- Air Ambulance
- Hemet, CA
National Provider Identifier
1730477019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 202950
- Legal business name
- MERCY AIR SERVICE INC
- Practice address
- 1035 S Cawston Ave
Hemet, CA 92545 - Phone
- (800) 499-9495
- Fax
- (402) 952-2411
- NPI assigned
- Jul 20, 2011
- Organization subpart
- Yes
- Parent organization
- ROCKY MOUNTAIN HOLDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon J Keck
- Title
- Cao
- Phone
- (800) 499-9495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 202950 | CA | Primary |
Addresses
Primary practice location
1035 S Cawston Ave
Hemet, CA 92545
Mailing address
PO Box 84621
Seattle, WA 98124-5921
Phone (909) 915-2303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050622000399 | CA | Part B Supplier - Ambulance Service Supplier | 3870538721 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Merced, CA; Visalia, CA; Victorville, CA; Twentynine Palms, CA; Thermal, CA; Susanville, CA; San Diego, CA; San Bernardino, CA… |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Rocky Mt Holdings
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
1035 S Cawston Ave
Hemet, CA 92545
Phone (951) 766-0484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1730477019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 84621",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981245921",
"telephone_number": "909-915-2303",
"fax_number": "402-952-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 S CAWSTON AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "92545",
"telephone_number": "800-499-9495",
"fax_number": "402-952-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY AIR SERVICE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROCKY MOUNTAIN HOLDINGS LLC",
"enumeration_date": "2011-07-20",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "KECK",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "800-499-9495"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "CA",
"license": "202950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.