CLASSIC AIR CARE INC (NPI# 1003855446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003855446 |
| Entity Type | Organization |
| Organization Name | CLASSIC AIR CARE INC |
| Other Organization Name | CLASSIC LIFEGUARD |
| Practice Address |
2244 South 1640 West Woods Cross UT 84087 |
| Practice Telephone | 8012955700 |
| Practice Fax Number | 8016490963 |
| Mailing Telephone | 8012955700 |
| Mailing Fax Number | 8014431993 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2014-04-16 |
| Authorized Official Name | ERIKO MARTIAN (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 8012955700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
3003L | UT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 897986 | 05 | |
| AZ | BLUE CROSS BLUE SHIELD | AZ0152510 | 01 |
| Other Name | Type Code |
|---|---|
| Classic Lifeguard | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLASSIC AIR CARE INC | 230 10th Ave, Page, AZ 86040 |
| Virginia Business Entities | Classic Air Care Incorporated | 2680 Production Road, Suite 102, Va Beach, Virginia 23454 |
| Street Address |
2244 SOUTH 1640 WEST |
| City | WOODS CROSS |
| State | UT |
| Zip Code | 84087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073910 | Clark John Bentley | Pharmacist | 614 W 2600 S, Woods Cross, UT 84087 | 2019-10-03 |
| 1417483561 | Douglas Steed | Registered Nurse | 1766 S 2095 W, Woods Cross, UT 84087 | 2017-05-11 |
| 1093152126 | Afsaneh Akbarian | Pharmacist | 680 W 2600 So, Woods Cross, UT 84087 | 2013-05-30 |
| 1285963777 | Todd A Gardner | Physical Therapy Assistant | 2233 North 830 West, West Bountiful, UT 84087 | 2009-12-14 |
| 1982636445 | America's Best Contacts & Eyeglasses | Eyewear Supplier (Equipment, not the service) | 512 W. 750 South, Woods Cross Shop. Ctr., Woods Cross, UT 84087 | 2006-07-07 |
| 1164469508 | Ryan Larry Jeffs | Marriage & Family Therapist | 592 West 1350 South, Woods Cross, UT 84087 | 2006-06-02 |
| 1629032610 | Total Renal Care Inc | Clinic/Center | 724 W 500 S, Ste 300, West Bountiful, UT 84087 | 2006-04-14 |
| 1689215238 | Daniel Snow Marshall | Pharmacist | 614 W 2600 S, Woods Crosss, UT 84087 | 2019-10-04 |
| 1619195617 | Jerome Erwin Vance | Psychiatry & Neurology | 592 West 1350 South, Woods Cross, UT 84087 | 2007-04-23 |
| 1598772618 | Benchmark Behavioral Health System Inc | Psychiatric Residential Treatment Facility | 592 West 1350 South, Woods Cross, UT 84087 | 2006-08-02 |
| Find all providers in zip 84087 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326482712 | Classic Air Care LLC | Ambulance | 2244 S 1640 W, Woods Cross, UT 84087-2300 | 2013-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659850832 | Guardian Flight LLC | Ambulance | 212 West Freedom Way, Blanding, UT 84511 | 2018-08-09 |
| 1801312624 | Guardian Flight LLC | Ambulance | 1151 E 180 S, Payson, UT 84651-5603 | 2017-08-15 |
| 1649796467 | Guardian Flight LLC | Ambulance | 319 E Ridgeline Dr, Ogden, UT 84405-6925 | 2017-08-15 |
| 1003206400 | Mountainstar Aircare Corporation | Ambulance | 10888 S 300 W, South Jordan, UT 84095 | 2015-01-23 |
| 1437595030 | Medico Transport System | Ambulance | 7365 S 4570 W, South Jordan, UT 84084 | 2013-05-22 |
| 1184963522 | Ihc Health Services Inc | Ambulance | 250 N 2370 W, Salt Lake City, UT 84116-2936 | 2013-02-05 |
| 1952866402 | Guardian Flight LLC | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2019-02-08 |
| 1114497922 | Hawaii Life Flight, LLC | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2018-12-05 |
| 1588656870 | University of Utah | Ambulance | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-08-22 |
| City | WOODS CROSS |
| Zip Code | 84087 |
Please comment or provide details below to improve the information on CLASSIC AIR CARE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.