Organization
ROAM
Active
Other names
SKY LIFE
Organization subpart
No
Provider details
NPI number
Authorized official
LISA EPPS (DIRECTOR OF OPERATIONS)
(559) 346-1025
Entity
Organization
Contact information
Practice address
2911 E TULARE ST, FRESNO, CA 93721-1502
(559) 443-5991
(559) 441-8260
Mailing address
2911 E TULARE ST, FRESNO, CA 93721-1502
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTA00607F
—
CA
Enumeration date
09/29/2006
Last updated
11/18/2011
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