NPI 1114490836 · live from the CMS NPI Registry
Ponderosa Aviation, INC
Ambulance, Land Transport in Safford, AZ. National Provider Identifier 1114490836, active.
NPI record
| NPI | 1114490836 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 4500 Aviation Way, Safford, AZ 85546 |
| Practice phone | 928-428-7820 |
| Mailing address | 4500 E Aviation Way, Safford, AZ 85546 |
| Enumerated | January 4, 2019 |
| Last updated | February 4, 2026 |
| Authorized official | Rex Bryce, Owner |
| Other names | Ponderosa Air Ambulance; Ponderosa Ground Ambulance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Air Transport | 3416A0800X | — |
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.