Organization
ALPHA AIR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA LANIER (GENERAL COUNSEL/HIRING MANAGER)
(417) 649-1269
Entity
Organization
Contact information
Practice address
5509 DENNIS WEAVER DR, WEBB CITY, MO 64870-7207
(417) 623-3113
Mailing address
9400 STATE HIGHWAY 171, CARL JUNCTION, MO 64834-5174
(417) 649-1269
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
097082
MO
Other
Enumeration date
07/22/2016
Last updated
12/30/2016
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