Provider Demographics
NPI:1124267521
Name:ANGEL MEDFLIGHT
Entity type:Organization
Organization Name:ANGEL MEDFLIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:FREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-264-3570
Mailing Address - Street 1:8014 E MCCLAIN DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-1328
Mailing Address - Country:US
Mailing Address - Phone:877-264-3570
Mailing Address - Fax:888-883-9506
Practice Address - Street 1:8014 E MCCLAIN DR
Practice Address - Street 2:SUITE 120
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1328
Practice Address - Country:US
Practice Address - Phone:877-264-3570
Practice Address - Fax:888-883-9506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3416A0800X3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport