MERCY AIR SERVICE, INC. (NPI# 1043675739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043675739 |
| Entity Type | Organization |
| Organization Name | MERCY AIR SERVICE, INC. |
| Practice Address |
1800 Spring Ridge Dr Susanville CA 96130 |
| Mailing Address |
Po Box 84621 Seattle WA 98124-5921 |
| Practice Telephone | 5302505461 |
| Mailing Telephone | 9099152305 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | SHARON J KECK (AUTHORIZED OFFICAL) |
| Authorized Official Telephone | 3037927400 |
| Is Organization Subpart | Y |
| Parent Organization Name | AIR METHODS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
NOT REQUIRED | CA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1700885548 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863451 | Mercy Air Service, Inc. | Ambulance | 18500 Readiness St Bldg 724, Victorville, CA 92394-7919 | 2020-08-28 |
| 1073178182 | Mercy Air Service, Inc. | Ambulance | 5526 E Aircorp Way, Fresno, CA 93727-1201 | 2019-05-03 |
| 1669939856 | Mercy Air Service, Inc. | Ambulance | 1200 Kitty Hawk Dr, Mesquite, NV 89027-3212 | 2019-02-25 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1306365994 | Mercy Air Service, Inc. | Ambulance | 205 Ash Valley Road, Adin, CA 96006 | 2017-09-14 |
| 1225571276 | Mercy Air Service, Inc. | Ambulance | 3515 Hardstand Ave, Atwater, CA 95301-4154 | 2016-11-23 |
| 1659814978 | Mercy Air Service, Inc. | Ambulance | 700 Terminal Cir, Livermore, CA 94551-9617 | 2016-11-18 |
| 1821264532 | Mercy Air Service, Inc. | Ambulance | 1541 E Calvada Blvd, Pahrump, NV 89048 | 2008-05-02 |
| 1700885548 | Mercy Air Service, Inc. | Ambulance | 13000 Las Vegas Blvd S, Henderson, NV 89044 | 2005-07-14 |
| 1083212054 | Mercy Air Service, Inc. | Ambulance | 1201 W La Veta Ave, Orange, CA 92868-4203 | 2020-10-13 |
| Street Address |
1800 SPRING RIDGE DR |
| City | SUSANVILLE |
| State | CA |
| Zip Code | 96130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891768271 | Kirk E Lott | Nurse Anesthetist, Certified Registered | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2006-02-08 |
| 1629421797 | Riaz Medical Group Inc | Family Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-07-13 |
| 1033570247 | Sierra Er Department Physicians Medical Group Inc. | Physician Assistant | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-03-15 |
| 1780044735 | Matthew S Mccarty Md Inc | General Acute Care Hospital | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2016-03-03 |
| 1720463961 | Banner Lassen Medical Center | Clinic/Center | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-07-29 |
| 1750788865 | Northstar Radiology - California | Radiology | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2014-12-04 |
| 1043562002 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-10-15 |
| 1346599305 | Darlene Amy Dougherty | Dietitian, Registered | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-09-06 |
| 1124386719 | Rooptown Emergency Physicians, A Medical Corporation | Emergency Medicine | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-05-02 |
| 1881950541 | Banner Health Physicians West LLC | Clinic/Center | 1800 Spring Ridge Dr, Susanville, CA 96130-6100 | 2012-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
| 1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
| 1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
| 1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
| 1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
| 1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
| 1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
| 1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
| 1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
| 1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
| Find all providers in zip 96130 | ||||
| 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 |
|---|---|---|---|---|
| 1851685630 | Mountain Lifeflight, Inc. | Ambulance | 710 Ash St, Susanville, CA 96130-3716 | 2011-06-08 |
| 1659452597 | Mountain Lifeflight | Ambulance | 650 Ash St, Susanville, CA 96130-3714 | 2006-10-18 |
| 1073638094 | Mountain Lifeflight L P | Ambulance | 650 Ash St, Susanville, CA 96130-3714 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447863451 | Mercy Air Service, Inc. | Ambulance | 18500 Readiness St Bldg 724, Victorville, CA 92394-7919 | 2020-08-28 |
| 1922620103 | Roberto Carlo Antonio | Ambulance | 1364 Caminito Amerigo Unit 3, Chula Vista, CA 91915-3147 | 2020-05-11 |
| 1508497652 | Er World Service Corp | Ambulance | 1340 Imperial Beach Blvd Ste 205-c, Imperial Beach, CA 91932-3046 | 2020-01-28 |
| 1851937478 | 24-7 Air Evac Inc. | Ambulance | 578 K Street, Chula Vista, CA 91911-1777 | 2019-11-19 |
| 1073178182 | Mercy Air Service, Inc. | Ambulance | 5526 E Aircorp Way, Fresno, CA 93727-1201 | 2019-05-03 |
| 1366910820 | Aviamedix, LLC | Ambulance | 4267 Conner Ct, San Diego, CA 92117-4303 | 2018-11-02 |
| 1033617618 | Flightmedx Inc. | Ambulance | 2100 Palomar Airport Rd Ste 207c, Carlsbad, CA 92011-4404 | 2018-01-29 |
| 1104330646 | Mercy Air Service, Inc. | Ambulance | 545 Kenney St Ste G1a, El Cajon, CA 92020 | 2017-11-20 |
| 1306365994 | Mercy Air Service, Inc. | Ambulance | 205 Ash Valley Road, Adin, CA 96006 | 2017-09-14 |
| 1225571276 | Mercy Air Service, Inc. | Ambulance | 3515 Hardstand Ave, Atwater, CA 95301-4154 | 2016-11-23 |
| Find all providers with the same taxonomy | ||||
| City | SUSANVILLE |
| Zip Code | 96130 |
Please comment or provide details below to improve the information on MERCY AIR SERVICE, 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.