Provider Demographics
NPI:1194343277
Name:LIFE FLIGHT, INC.
Entity type:Organization
Organization Name:LIFE FLIGHT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-413-9451
Mailing Address - Street 1:600 LA TERRAZA BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-3873
Mailing Address - Country:US
Mailing Address - Phone:858-413-9451
Mailing Address - Fax:858-413-9495
Practice Address - Street 1:2006 PALOMAR AIRPORT RD STE 210
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-4419
Practice Address - Country:US
Practice Address - Phone:858-413-9451
Practice Address - Fax:858-413-9495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport