MEDIC 1 AIR, LLC (NPI# 1669644274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669644274 |
| Entity Type | Organization |
| Organization Name | MEDIC 1 AIR, LLC |
| Other Organization Name | MEDIC 1 AIR |
| Practice Address |
3153 County Road 906 Jonesboro AR 72401-0916 |
| Mailing Address |
111 E Jackson St Jonesboro AR 72401-3107 |
| Practice Telephone | 8709720708 |
| Mailing Telephone | 8709720708 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | RYAN KEITH KIBLER (OWNER) |
| Authorized Official Telephone | 8709720708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
606 | AR | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | SERVICE NUMBER | 069001 | 01 |
| Other Name | Type Code |
|---|---|
| MEDIC 1 AIR | Doing Business As Name - Organization |
| Street Address |
3153 COUNTY ROAD 906 |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-0916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1356785539 | Viking Aviation | Ambulance | 6009 Dalton Farmer Dr, Jonesboro, AR 72404-8895 | 2013-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679085989 | Air Evac Ems, Inc. | Ambulance | 1321 Dodson Ave, Fort Smith, AR 72901-5107 | 2017-10-26 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1255525218 | Air Evac Ems Inc. | Ambulance | 1017 N 14th St, Dequeen, AR 71832 | 2007-09-04 |
| 1790976561 | Precision Funding of Arkansas Inc. Dba Jet-med | Ambulance | 2226 Cottondale Ln, Little Rock, AR 72202-2059 | 2007-08-07 |
| 1437292877 | Airborne Flying Service, Inc. | Ambulance | 525 Airport Rd Ste A1, Hot Springs, AR 71913-4700 | 2007-02-15 |
| 1477652501 | Pafford Medical Services, Inc | Ambulance | 508 E 3rd St, Hope, AR 71801-5401 | 2006-09-22 |
| 1659391589 | Aero Med Express, Inc. | Ambulance | 1 Morsani Drive, Hangar 2b, Rogers, AR 72756 | 2006-07-21 |
| 1427032762 | Air Evac Ems Inc | Ambulance | 305 Airport Rd, Ste 2, Paragould, AR 72450 | 2005-11-30 |
| 1407839228 | Air Evac Ems Inc | Ambulance | 800 N Main St, Harrison, AR 72601 | 2005-11-25 |
| Find all providers with the same taxonomy | ||||
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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.