Bluebird Medical Enterprises

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

1000280 Issued in TX

Legal business name

BLUEBIRD MEDICAL ENTERPRISES

Doing business as

Lone Star Air Rescue

Practice address

442 Champions Dr
Georgetown, TX 78628-1199

Phone

(254) 771-1513

Fax

(254) 771-1181

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Phillips

Title

President

Phone

(254) 771-1513

Specialties & licenses 1

Addresses

Other names 1

• Lone Star Air Rescue Doing business as

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1942430582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 3000 PMB 155",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78627",
            "telephone_number": "254-771-1513",
            "fax_number": "254-771-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 CHAMPIONS DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281199",
            "telephone_number": "254-771-1513",
            "fax_number": "254-771-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD MEDICAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-771-1513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TX",
            "license": "1000280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Star Air Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Air Ambulance in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Air Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.