Organization
MERCY FLIGHT CENTRAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A KLEM (SECRETARY TREASURER)
(585) 396-0584
Entity
Organization
Contact information
Practice address
2420 BRICKYARD RD, CANANDAIGUA, NY 14424-7968
(585) 396-0584
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
10505
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01449903
—
NY
01
—
258220300
US DEPT OF LABOR OWCP
—
01
—
950881
MVP
—
01
—
9602223
GHI
—
01
—
A3511959
OXFORD HEALTH
—
01
—
P0100637MF
BCBS OF ROCHESTER
—
Enumeration date
04/03/2006
Last updated
12/12/2011
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