Active NPI
Mountain Lifeflight, Inc.
- Air Ambulance
- Susanville, CA
National Provider Identifier
1851685630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- MOUNTAIN LIFEFLIGHT, INC.
- Practice address
- 710 Ash St
Susanville, CA 96130-3716 - Phone
- (530) 257-0249
- Fax
- (530) 251-2998
- NPI assigned
- Jun 8, 2011
- Last updated
- Sep 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Crosby
- Title
- General Manager
- Phone
- (530) 257-0249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | NU | Primary |
Addresses
Primary practice location
710 Ash St
Susanville, CA 96130-3716
Mailing address
PO Box 711
Susanville, CA 96130-0711
Phone (530) 257-0249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GB789A | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
710 Ash St
Susanville, CA 96130
Phone (530) 257-0249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1851685630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961300711",
"telephone_number": "530-257-0249",
"fax_number": "530-251-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 ASH ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303716",
"telephone_number": "530-257-0249",
"fax_number": "530-251-2998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN LIFEFLIGHT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-08",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "CROSBY",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "530-257-0249",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GB789A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.