PONDEROSA AVIATION, INC (NPI# 1114490836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114490836 |
| Entity Type | Organization |
| Organization Name | PONDEROSA AVIATION, INC |
| Practice Address |
4500 Aviation Way Safford AZ 85546 |
| Practice Telephone | 9284287820 |
| Practice Fax Number | 9284287824 |
| Mailing Telephone | 9284287820 |
| Mailing Fax Number | 9284287824 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | REX D BRYCE (PRESIDENT) |
| Authorized Official Telephone | 9284287820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Ponderosa Air Ambulance | Doing Business As Name - Organization |
| Street Address |
4500 AVIATION WAY |
| City | SAFFORD |
| State | AZ |
| Zip Code | 85546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449628 | The Pain Institute of Southern Arizona PC | Anesthesiology | 2241 W 16th Street, Safford, AZ 85546 | 2020-05-19 |
| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
| 1508238700 | Southeastern Arizona Consumer-run Services | Clinic/Center | 628 Main St., Safford, AZ 85546 | 2015-10-27 |
| 1457774465 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1952 W Thatcher Blvd, Safford, AZ 85546 | 2014-01-27 |
| 1841634060 | Rs5 Investments LLC | Family Medicine | 1515 S. 20th Ave, Safford, AZ 85546 | 2013-04-18 |
| 1689946162 | South Eastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 1609 S. 1st Ave, Safford, AZ 85546 | 2012-01-31 |
| 1669741435 | Southeastern Arizona Behavioral Health Services, Inc | Clinic/Center | 1609 S 1st Ave, Safford, AZ 85546 | 2011-12-22 |
| 1912295106 | Canyonlands | Clinic/Center | 618 S. Central Avenue, Safford, AZ 85546 | 2011-07-21 |
| 1255669354 | Dovetree Counseling Associates, Inc. | Community/Behavioral Health | 1906 Thatcher Blvd, Safford, AZ 85546 | 2009-12-01 |
| 1275766800 | Jesse Robert Coons | Family Medicine | 896 S Cook Rd, Safford, AZ 85546 | 2009-08-31 |
| Find all providers in zip 85546 | ||||
| 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 |
|---|---|---|---|---|
| 1043779135 | Guardian Flight LLC | Ambulance | 4500 E Aviation Way, Safford, AZ 85546-9479 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952966087 | Rocky Mountain Holdings, LLC | Ambulance | 2755 Silvercreek Road, Bullhead City, AZ 86442-7904 | 2019-05-03 |
| 1588123673 | Guardian Flight LLC | Ambulance | 905 W Airport Rd, Springerville, AZ 85938-5015 | 2019-03-18 |
| 1407314784 | Rocky Mountain Holdings, LLC | Ambulance | 5880 Flightline Dr, Kingman, AZ 86401-6842 | 2019-03-06 |
| 1730646852 | Rocky Mountain Holdings, LLC | Ambulance | 3535 S Fortuna Ave, Yuma, AZ 85365-4207 | 2019-02-25 |
| 1912486275 | Guardian Flight LLC | Ambulance | 3151 E Airport Loop Ste 1, Show Low, AZ 85901-9583 | 2018-08-08 |
| 1952808230 | Med-trans Corporation | Ambulance | 1215 N Ivy Loop Ste 2, Casa Grande, AZ 85122-5406 | 2018-04-12 |
| 1093232258 | Guardian Flight LLC | Ambulance | Cvs Space 31, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| 1285151506 | Guardian Flight LLC | Ambulance | Cvs Space 32, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| 1164949483 | Guardian Flight LLC | Ambulance | Kayenta Mobile Home Park Hwy 163 Space 288, Kayenta, AZ 86033 | 2017-08-28 |
| 1912424300 | Guardian Flight LLC | Ambulance | 141 W 40th St, Yuma, AZ 85365-9641 | 2017-08-25 |
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| 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.