Healthcare Provider Details

I. General information

NPI: 1255674537
Provider Name (Legal Business Name): PHI HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2013
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE
RIO RANCHO NM
87124-4740
US

IV. Provider business mailing address

PO BOX 676171
DALLAS TX
75267-6171
US

V. Phone/Fax

Practice location:
  • Phone: 505-994-2436
  • Fax:
Mailing address:
  • Phone: 800-421-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License NumberF000026
License Number StateNM

VIII. Authorized Official

Name: MICHAEL LAWRENCE BOYLE
Title or Position: CFO
Credential:
Phone: 800-421-6111