Organization
MOUNTAIN LIFEFLIGHT L P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONIQUE M HUBANKS (MANGER)
(530) 257-0249
Entity
Organization
Contact information
Practice address
650 ASH ST, SUSANVILLE, CA 96130-3714
(530) 257-0249
Mailing address
PO BOX 711, SUSANVILLE, CA 96130-0711
(530) 257-0249
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTA00754F
—
CA
Enumeration date
03/20/2007
Last updated
08/22/2020
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