Organization Active NPI

Mountain Lifeflight, Inc.

  • Air Ambulance
  • Susanville, CA
National Provider Identifier
1851685630
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GB789AMedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.