HAWAII LIFE FLIGHT, LLC (NPI# 1114497922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114497922 |
| Entity Type | Organization |
| Organization Name | HAWAII LIFE FLIGHT, LLC |
| Practice Address |
10888 S 300 W South Jordan UT 84095-4043 |
| Mailing Address |
Po Box 199 West Plains MO 65775-0199 |
| Practice Telephone | 8772885340 |
| Mailing Telephone | 8016194900 |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308592 | Hawaii Life Flight, LLC | Ambulance | 50 Malihini Pl, Wailuku, HI 96793-3505 | 2018-08-31 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1871006361 | Hawaii Life Flight, LLC | Ambulance | 4480 Kuene St, Lihue, HI 96766-1038 | 2017-11-07 |
| 1720591209 | Hawaii Life Flight, LLC | Ambulance | 1152 Heauka Pl, Hilo, HI 96720-1578 | 2017-11-07 |
| 1578076063 | Hawaii Life Flight, LLC | Ambulance | 67-1270 Kamaloo St, Kamuela, HI 96743-8389 | 2017-11-07 |
| 1912410416 | Hawaii Life Flight, LLC | Ambulance | 73-990 Kukuinui St, Kailua Kona, HI 96740-8580 | 2017-11-07 |
| 1740793223 | Hawaii Life Flight, LLC | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819-1891 | 2017-11-07 |
| Street Address |
10888 S 300 W |
| City | SOUTH JORDAN |
| State | UT |
| Zip Code | 84095-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003206400 | Mountainstar Aircare Corporation | Ambulance | 10888 S 300 W, South Jordan, UT 84095 | 2015-01-23 |
| 1952866402 | Guardian Flight LLC | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2019-02-08 |
| 1548628712 | Alaska Regional Transport Corporation | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2016-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033745393 | Beverly Laraine Williams | Social Worker | 11260 S River Heights Drive, South Jordan, UT 84095 | 2020-03-19 |
| 1265902902 | Sarah Richele Kelley | Specialist/Technologist | 10236 Alder Grovey Way, South Jordan, UT 84095 | 2018-11-26 |
| 1326528837 | Kristi Couse | Massage Therapist | 10679 S 2200 W Apt 2, South Jordan, UT 84095 | 2018-08-15 |
| 1821516063 | River Crossing Dental Professional Corporation | Clinic/Center | 12427 South 4000 West, Suite #200, Riverton, UT 84095 | 2017-09-08 |
| 1245755719 | Staci Stout | Dental Hygienist | 3113 W Swiss Pass Cir, South Jordan, UT 84095 | 2017-08-07 |
| 1437698750 | Ryan Sears | Dentist | 10894 So. River Front Parkway, South Jordan, UT 84095 | 2017-02-20 |
| 1366989931 | Ultimate Sports Regenerative Medicine | Chiropractor | 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 | 2017-01-20 |
| 1306393889 | Tal Quirl | Optometrist | 3571 W. 10400 S., South Jordan, UT 84095 | 2016-09-01 |
| 1023562667 | Sevon Taroian | Social Worker | 11260 River Heights Drive, South Jordan, UT 84095 | 2016-08-11 |
| 1952762932 | Megan Buckley | Developmental Therapist | 881 Baxter Drive, Ste 100, South Jordan, UT 84095 | 2016-03-17 |
| Find all providers in zip 84095 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1952866402 | Guardian Flight LLC | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2019-02-08 |
| 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 |
| 1326482712 | Classic Air Care LLC | Ambulance | 2244 S 1640 W, Woods Cross, UT 84087-2300 | 2013-04-29 |
| 1184963522 | Ihc Health Services Inc | Ambulance | 250 N 2370 W, Salt Lake City, UT 84116-2936 | 2013-02-05 |
| 1003855446 | Classic Air Care Inc | Ambulance | 2244 South 1640 West, Woods Cross, UT 84087 | 2006-06-04 |
| 1588656870 | University of Utah | Ambulance | 50 N Medical Dr, Salt Lake City, UT 84132-0100 | 2005-08-22 |
| City | SOUTH JORDAN |
| Zip Code | 84095 |
Please comment or provide details below to improve the information on HAWAII LIFE FLIGHT, LLC.
| 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.