40 MILE AIR LTD (NPI# 1154496651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154496651 |
| Entity Type | Organization |
| Organization Name | 40 MILE AIR LTD |
| Practice Address |
1313 Alaska Highway Tok AK 99780 |
| Mailing Address |
Po Box 3510 Silverdale WA 98383-3510 |
| Practice Telephone | 9078835191 |
| Practice Fax Number | 9078835194 |
| Mailing Telephone | 3603947020 |
| Mailing Fax Number | 3603947099 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-12-17 |
| Authorized Official Name | MR. LEIF WILSON (OWNER-PRESIDENT) |
| Authorized Official Telephone | 9078835191 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
8375 | AK | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1000152 | 05 | |
| AK | RAILROAD MC | P01308364 | 01 |
| Street Address |
1313 ALASKA HIGHWAY |
| City | TOK |
| State | AK |
| Zip Code | 99780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538681 | Kory Labbe | Counselor | 124 Tok Cut Off, Tok, AK 99780 | 2020-11-03 |
| 1396350633 | Tanana Chiefs Confenerce | Pharmacy | Mile 124.4 Glenn Highway, Tok, Ak, AK 99780 | 2020-09-14 |
| 1780294934 | Charmaine Shay Isaac | Counselor | Tetlin Health Clinic, Tetlin, AK 99780 | 2020-08-03 |
| 1770128811 | Tanana Chiefs Conference | Community/Behavioral Health | West Willow and C Street, Tok, AK 99780 | 2019-11-13 |
| 1588227920 | Joetta Lynn Thompson Colquette | Counselor | West C Street and Willow, Tok, AK 99780 | 2019-04-22 |
| 1093245144 | Mariah Craig | Community Health Worker | Mile 5.9 Mentasta Spur Road, Mentasta Lake, AK 99780 | 2017-06-12 |
| 1881070258 | Arron Atchley | Technician | 204 East Chene Way, Tok, AK 99780 | 2015-08-07 |
| 1881079705 | Francine Lee | Registered Nurse | 1314 Alaska Hwy, Tok, AK 99780 | 2015-07-21 |
| 1265856306 | Ashley Sawyer | Driver | Mp 1314 Alaska Highway, Tok, AK 99780 | 2014-02-10 |
| 1932536877 | Alberta David | Community Health Worker | 123 Tok Cut Off Road, Tok, AK 99780 | 2013-10-10 |
| Find all providers in zip 99780 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1750807525 | Guardian Flight LLC | Ambulance | 5880 Old Airport Rd, Fairbanks, AK 99709-4601 | 2017-08-14 |
| 1366968133 | Guardian Flight LLC | Ambulance | 8429 Livingston Way, Juneau, AK 99801-8098 | 2017-08-14 |
| 1346766128 | Guardian Flight LLC | Ambulance | 1720 Sawmill Creek Rd, Sitka, AK 99835-9768 | 2017-08-14 |
| 1801312665 | Guardian Flight LLC | Ambulance | 3474 Old Intl Airport Rd, Anchorage, AK 99502-1003 | 2017-08-14 |
| 1538685300 | Guardian Flight LLC | Ambulance | 120 Carlanna Lake Rd Ste 104, Ketchikan, AK 99901-5611 | 2017-08-14 |
| 1053837823 | Guardian Flight LLC | Ambulance | Beluga Bluffs Apt Block 26, Lot 5 Apt. 5 & 6, Dillingham, AK 99576 | 2017-08-14 |
| 1285173880 | Medevac Alaska L.L.C. | Ambulance | 6231 S Airpark Pl, Anchorage, AK 99502-1807 | 2017-02-15 |
| 1316344963 | Alaska Regional Life Flight Corporation | Ambulance | 3474 Old International Airport Road, Anchorage, AK 99502 | 2014-11-25 |
| 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.