1841341013 NPI number — INTENSIVE AIR, INC.

Table of content: (NPI 1841341013)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841341013 NPI number — INTENSIVE AIR, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INTENSIVE AIR, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841341013
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8830 S TAMIAMI TRL
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
SARASOTA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34238-3110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
941-926-2490
Provider Business Mailing Address Fax Number:
941-536-2006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8830 S TAMIAMI TRL
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
SARASOTA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34238-3110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
941-926-2490
Provider Business Practice Location Address Fax Number:
941-536-2006
Provider Enumeration Date:
01/15/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CAROTHERS
Authorized Official First Name:
CLIFTON
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
941-926-2490

Provider Taxonomy Codes

  • Taxonomy code: 3416A0800X , with the licence number:  3043 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02073572 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 094930200 , issued by the state of ( MN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200422840A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 431795400 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100054690 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2768394 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 701589134A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 9058371 , issued by the state of ( WA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003114725 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 123082400 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4582541 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8335401 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1010713 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4691392 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 501610 , issued by the state of ( AZ ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3406990 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1841341013 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1841341013 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 337504800 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1841341013 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".




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