Provider Demographics
NPI:1679750079
Name:AIRMED DOMESTIC LLC
Entity type:Organization
Organization Name:AIRMED DOMESTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:T
Authorized Official - Last Name:TOLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-443-4840
Mailing Address - Street 1:1000 URBAN CENTER DR
Mailing Address - Street 2:SUITE 470
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-2532
Mailing Address - Country:US
Mailing Address - Phone:205-443-4840
Mailing Address - Fax:205-443-4841
Practice Address - Street 1:1601 N MARGINAL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3739
Practice Address - Country:US
Practice Address - Phone:216-861-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport