Organization
MEDIC 1 AIR, LLC
Active
Other names
MEDIC 1 AIR
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KEITH KIBLER (OWNER)
(870) 972-0708
Entity
Organization
Contact information
Practice address
3153 COUNTY ROAD 906, JONESBORO, AR 72401-0916
(870) 972-0708
Mailing address
111 E JACKSON ST, JONESBORO, AR 72401-3107
(870) 972-0708
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
606
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069001
SERVICE NUMBER
MO
Enumeration date
03/25/2008
Last updated
03/26/2008
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