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Organization

AIR INTERFACILITY TRANSPORT

Active
Other names
AIT Air Med
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB G BENNETT (COO)
(575) 551-4648
Entity
Organization

Contact information

Practice address
2505 CLARK CARR LOOP SE, ALBUQUERQUE, NM 87106-5611
(505) 787-2095
Mailing address
PO BOX 2405, SANTA ROSA, CA 95405-0405
(505) 535-7149

Taxonomy

Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary

Other

Enumeration date
04/04/2023
Last updated
03/25/2025
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