Organization Active NPI

Omniflight Helicopters, Inc.

  • Air Ambulance
  • Cahokia, IL
National Provider Identifier
1891081469
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
OMNIFLIGHT HELICOPTERS, INC.
Practice address
4000 Vector Dr
Cahokia, IL 62206-1466
Phone
(800) 760-1583
Fax
(480) 988-3843
NPI assigned
Jun 22, 2011
Last updated
Jun 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Authorized official

Name
Marnie Redmond
Title
Director of Compliance
Phone
(800) 760-1583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X NU Primary

Addresses

Primary practice location

4000 Vector Dr
Cahokia, IL 62206-1466

Mailing address

PO Box 6119
Mesa, AZ 85216-6119
Phone (800) 760-1583

Other identifiers 4

IdentifierTypeStateIssuer
420027600MedicaidFL
808259100MedicaidID
798288525AMedicaidGA
3406937MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Omniflight Helicopters Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4000 Vector Dr
Cahokia, IL 62206
Phone (800) 760-1583

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1891081469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6119",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852166119",
            "telephone_number": "800-760-1583",
            "fax_number": "480-988-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 VECTOR DR",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061466",
            "telephone_number": "800-760-1583",
            "fax_number": "480-988-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIFLIGHT HELICOPTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "800-760-1583"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420027600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808259100",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798288525A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406937",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cahokia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.