Desert Air Ambulance Inc
Organization Active NPI Air Ambulance · Blythe, CA
NPI 1992818645 · NPPES record last updated Mar 23, 2009
Key facts
- NPI
- 1992818645
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- License
- U7ZA454L (CA)
- Legal business name
- DESERT AIR AMBULANCE INC
- Practice address
- 140 N. Broadway Dr.
Blythe, CA 92225-1608 - Phone
- (760) 922-5911
- Fax
- (760) 922-5912
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Trina Renee Davis-Sartin, RN
- Title
- President
- Phone
- (760) 922-5911
National Provider Directory
Locations
17240 W Hobsonway
Blythe, CA 92225
Phone (760) 922-5911
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | U7ZA454L | CA | Yes |
Addresses
Primary practice location
140 N. Broadway Dr.
Blythe, CA 92225-1608
Mailing address
PO Box 796
Blythe, CA 92226-0796
Phone (760) 922-5911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 913708 | Medicaid | AZ | |
| MTA01168F | Medicaid | CA |
Other providers in Blythe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.