Organization
AERO MED INC
Active
Other names
Aerocare Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS NEWMAN (PRESIDENT)
(520) 579-8171
Entity
Organization
Contact information
Practice address
7600 E APACHE ST, TULSA, OK 74115-3721
(520) 579-8171
(520) 579-3515
Mailing address
PO BOX 150003, TULSA, OK 74115-0003
(520) 579-8171
(520) 579-3515
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819320A
—
OK
05
—
59039035
—
NM
05
—
804832
—
AZ
01
—
AZ0152470
BLUE CROSS BLUE SHEILD
AZ
Enumeration date
08/30/2006
Last updated
06/23/2010
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