EXECUTIVE AIR TAXI CORP.


Address: 2301 University Dr, Bismarck, ND 58504-7595
Phone: 7013211456

EXECUTIVE AIR TAXI CORP. (NPI# 1881990745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881990745
Entity Type Organization
Organization Name EXECUTIVE AIR TAXI CORP.
Other Organization Name ANGEL AIR CARE
Practice Address 2301 University Dr
Bismarck
ND 58504-7595
Practice Telephone 7013211456
Practice Fax Number 7012582693
Mailing Telephone 7012585024
Mailing Fax Number 7012582693
Enumeration Date 2011-02-09
Last Update Date 2012-03-09
Authorized Official Name CALLEN CERMAK (CFO)
Authorized Official Telephone 7012585024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3416A0800X Ambulance
Specialization: Air Transport
0982 SD Transportation Services
Y 3416A0800X Ambulance
Specialization: Air Transport
681 ND Transportation Services

Other Provider Identifier

State Issuer Identifier Type Code
ND 54188 05
SD 1881990745 05

Other Provider/Organization Names

Other Name Type Code
Angel Air Care Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1720398464 Executive Air Taxi Corp. Ambulance 8295 7th Ave Se, Linton, ND 58552-9011 2010-10-15
1548591506 Executive Air Taxi Corp. Ambulance 2301 University Dr, Bismarck, ND 58504-7595 2010-01-14

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EXECUTIVE AIR TAXI CORPORATION 2301 University Dr Bldg 48, Bismarck, ND 58504-7595

Office Location

Street Address 2301 UNIVERSITY DR
City BISMARCK
State ND
Zip Code 58504-7595

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548591506 Executive Air Taxi Corp. Ambulance 2301 University Dr, Bismarck, ND 58504-7595 2010-01-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619578077 Hit Inc. Community/Behavioral Health 1517/1519 S Washington St, Bismarck, ND 58504 2020-11-03
1518568963 Hit Inc. Community/Behavioral Health 1509/1511 S Washington St., Bismarck, ND 58504 2020-11-03
1366926594 Lisa Elizabeth Morgan Counselor 2600 Manchester St, Bismarck, ND 58504 2018-09-24
1528557006 Mees Physical Therapy LLC Physical Therapist 109 Mcdougall Dr., Suite 4, Lincoln, ND 58504 2018-05-09
1437666856 Katy Thomas Social Worker 3315 University Drive, Bismasrck, ND 58504 2018-01-08
1407396864 Allison Bitz Social Worker 600 S. Second St., Suite 220, Bismarck, ND 58504 2017-03-06
1306397831 Evan Morehead Specialist/Technologist 5160 Lincoln Road, Lincoln, ND 58504 2016-10-19
1902262520 Stacey S Haugen, Pllc Counselor 6221 University Drive, Bismarck, ND 58504 2016-01-12
1881060630 Brittany N Kudrna Nurse Practitioner 914 S 12th St Ste 101, Bismarck, ND 58504 2015-08-17
1154727873 William J Kucera Physical Therapist 324 Marietta Dr, Bismarck, ND 58504 2014-11-06
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Taxonomy Information

Taxonomy Code 3416A0800X
Grouping Transportation Services
Classification Ambulance
Specialization Air Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548591506 Executive Air Taxi Corp. Ambulance 2301 University Dr, Bismarck, ND 58504-7595 2010-01-14
1255337333 Bismarck Air Medical, LLC Ambulance 2940 N 19th St, Bismarck, ND 58503-5393 2005-06-23
1538245634 Sanford Bismarck Ambulance 300 N 7th St, Bismarck, ND 58501-4439 2006-10-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417466145 Guardian Flight LLC Ambulance 1029 7th St Ne, Devils Lake, ND 58301-2719 2017-09-26
1164941159 Guardian Flight LLC Ambulance 1518 10th Ave W, Williston, ND 58801-3829 2017-09-12
1518486505 Guardian Flight LLC Ambulance 2646 Dakota Blvd, Dickinson, ND 58601-2508 2017-09-12
1902325996 Guardian Flight LLC Ambulance 780 Promenade Ct, Grand Forks, ND 58203-4002 2017-09-12
1215372164 Med-trans Corporation Ambulance 2463 Empire Road, Dickinson, ND 58601-0000 2013-05-06
1720398464 Executive Air Taxi Corp. Ambulance 8295 7th Ave Se, Linton, ND 58552-9011 2010-10-15
1326354978 Valley Med Flight Inc Ambulance 2403 Air Cargo Dr, Grand Forks, ND 58203 2010-08-20
1528370814 Dale Aviation, Inc. Ambulance 401 W. 34th Street, Williston, ND 58802 2010-07-02
1114485315 Altru 2018 LLC Ambulance 1200 S Columbia Rd, Grand Forks, ND 58201-4044 2019-03-06
1053502773 Trinity Hospitals Ambulance 1 Burdick Expy W, Minot, ND 58701-4406 2007-08-07
Find all providers with the same taxonomy

Competitor

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City BISMARCK
Zip Code 58504

Improve Information

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Dataset Information

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.

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