Organization
MOUNTAIN LIFEFLIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH CROSBY (GENERAL MANAGER)
(530) 257-0249
Entity
Organization
Contact information
Practice address
710 ASH ST, SUSANVILLE, CA 96130-3716
(530) 257-0249
(530) 251-2998
Mailing address
PO BOX 711, SUSANVILLE, CA 96130-0711
(530) 257-0249
(530) 251-2998
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GB789A
—
CA
Enumeration date
06/08/2011
Last updated
09/10/2012
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