Organization
GATEWAY AIR AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CARL CARLSON (VICE PRESIDENT)
(913) 663-5535
Entity
Organization
Contact information
Practice address
60 E. RIO SALADO PARKWAY, SUITE 900, TEMPE, AZ 85281
(913) 663-5535
(913) 663-1503
Mailing address
P.O. BOX 26785, OVERLAND PARK, KS 66225-6785
(913) 663-5535
(913) 663-1503
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
06-0009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184638
—
AZ
Enumeration date
01/29/2007
Last updated
11/18/2011
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