California Shock Trauma Air Rescue in Mcclellan - Air Transport

California Shock Trauma Air Rescue - NPI 1154408391

California Shock Trauma Air Rescue is a Air Transport in Mcclellan, California. California Shock Trauma Air Rescue practices all healthcare services and medical treatments related to Air Transport. The NPI Number for California Shock Trauma Air Rescue is 1154408391. The last update date is 2008-02-07.

California Shock Trauma Air Rescue's current location address is 4933 Bailey Loop, Mcclellan, California. You can contact this provider via phone number 9169214075 and fax number 9169214079. The mailing address for California Shock Trauma Air Rescue is 4933 Bailey Loop, Mcclellan, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization California Shock Trauma Air Rescue
Address 4933 Bailey Loop, Mcclellan, California
Phone Number 9169214075
Fax Number 9169214079
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Cook F Joseph
Telephone Number 9169214000

NPI Number Detail

NPI Number 1154408391
Provider Enumeration Date 2006-11-01
Last Updated Date 2008-02-07

Provider Mailing Address Detail

Address 4933 Bailey Loop
City Mcclellan
State California (CA)
Post Code 95652
Phone Number 9169214075
Fax Number 9169214079

Provider's Primary Taxonomy Detail

Speciality Air Transport
Taxonomy 3416A0800X
Licence No STRA2901
Definition:
Provides emergency patient transportation by helicopter or fixed-wing aircraft equipped with medical equipment and staffed by medical personnel.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MTA00592F CA --

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FAQs about California Shock Trauma Air Rescue

What is the unique 10-digit identification code assigned to California Shock Trauma Air Rescue by the Centers for Medicare & Medicaid Services?

The California Shock Trauma Air Rescue has been issued the NPI (National Provider Identifier) 1154408391, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where California Shock Trauma Air Rescue is geographically located?

The California Shock Trauma Air Rescue is physically situated at the following location: 4933 Bailey Loop, Mcclellan, CA, 95652.

What is California Shock Trauma Air Rescue's specialized field of practice, and what is the corresponding taxonomy classification code?

The California Shock Trauma Air Rescue's area of specialization is Air Transport, and the corresponding taxonomy code that categorizes this field of practice is 3416A0800X.

On what date did California Shock Trauma Air Rescue receive its 1154408391 assignment from the Centers for Medicare & Medicaid Services?

The California Shock Trauma Air Rescue was assigned its 1154408391 on 2006-11-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to California Shock Trauma Air Rescue most recently updated or refreshed?

The details pertaining to the California Shock Trauma Air Rescue, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-07.

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