Provider Demographics
NPI:1306808753
Name:MERCY FLIGHT INC
Entity type:Organization
Organization Name:MERCY FLIGHT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRENTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-626-4100
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:315-635-1789
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:100 AMHERST VILLA RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14225-1432
Practice Address - Country:US
Practice Address - Phone:716-626-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-03
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
NY120713416L0300X
NY105563416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
10052011OtherCDPHP
943122OtherMVP
OH2548729Medicaid
000586047001OtherBCBS OF WNY
NY01653763Medicaid
9690627OtherGHI
PA1012522660001Medicaid
943122OtherMVP
590010355Medicare ID - Type UnspecifiedRR