Organization
CJ SYSTEMS AVIATION GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEENE (NATIONAL DIRECTOR)
(909) 915-2301
Entity
Organization
Contact information
Practice address
57 ALLEGHENY COUNTY AIRPORT, WEST MIFFLIN, PA 15122-2674
(412) 466-2500
Mailing address
275 CURRY HOLLOW RD, SUITE G-300, PITTSBURGH, PA 15236-4631
(412) 653-2185
(412) 653-6050
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
028
SD
3416A0800X
Air Ambulance
080707
AL
3416A0800X
Air Ambulance
6604829
WI
3416L0300X
Land Ambulance
6604829
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051558884
—
AL
05
—
41361400
—
WI
05
—
41361500
—
WI
01
—
4993093
BCBS SOUTH DAKOTA
SD
01
—
51541040
BCBS ALABAMA
AL
05
—
9020840
—
SD
Enumeration date
12/04/2006
Last updated
07/21/2008
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