Organization
CLASSIC AIR CARE INC
Active
Other names
Classic Lifeguard
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKO MARTIAN (DIRECTOR OF FINANCE)
(801) 295-5700
Entity
Organization
Contact information
Practice address
2244 SOUTH 1640 WEST, WOODS CROSS, UT 84087
(801) 295-5700
(801) 649-0963
Mailing address
2244 SOUTH 1640 WEST, WOODS CROSS, UT 84087
(801) 295-5700
(801) 443-1993
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
3003L
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897986
—
AZ
01
—
AZ0152510
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/04/2006
Last updated
04/16/2014
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