# CLASSIC AIR CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Classic Lifeguard
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003855446
- **Authorized official:** ERIKO MARTIAN (DIRECTOR OF FINANCE)
- **Authorized official phone:** (801) 295-5700

## Contact information

- **Practice address:** 2244 SOUTH 1640 WEST, WOODS CROSS, UT 84087
- **Practice address phone:** (801) 295-5700
- **Practice address fax:** (801) 649-0963
- **Mailing address:** 2244 SOUTH 1640 WEST, WOODS CROSS, UT 84087
- **Mailing address phone:** (801) 295-5700
- **Mailing address fax:** (801) 443-1993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 3003L | UT | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 04/16/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 897986 | — | AZ |
| 01 | — | AZ0152510 | BLUE CROSS BLUE SHIELD | AZ |