Provider Demographics
NPI:1235962689
Name:AIR TRAVEL 911 LLC
Entity type:Organization
Organization Name:AIR TRAVEL 911 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:MADRID MANZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-423-9682
Mailing Address - Street 1:2440 W MISSION LN STE 5
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-2824
Mailing Address - Country:US
Mailing Address - Phone:602-423-9682
Mailing Address - Fax:
Practice Address - Street 1:2440 W MISSION LN STE 5
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-2824
Practice Address - Country:US
Practice Address - Phone:602-423-9682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance