Organization
MIDWEST CORPORATE AIR CARE LLC
Active
Other names
MIDWEST LIFE TEAM
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY H RATZLAFF (DIRECTOR OF BILLING SERVICES)
(316) 281-8722
Entity
Organization
Contact information
Practice address
516 N OLIVER RD, HANGAR J, NEWTON, KS 67114-9403
(316) 281-8700
(316) 281-8719
Mailing address
PO BOX 672, NEWTON, KS 67114-0672
(316) 281-8722
(316) 281-8723
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
1255
KS
3416L0300X
Land Ambulance
1255
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0568378
—
IA
05
—
100250094-00
—
NE
05
—
100457300A
—
KS
05
—
12324833
—
CO
05
—
152821715
—
AR
05
—
159261001
—
TX
05
—
200016100A
—
OK
05
—
806092201
—
MO
05
—
81896
—
NM
05
—
XMTA06001
—
CA
Enumeration date
09/16/2005
Last updated
03/21/2013
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