Healthcare Provider Details

I. General information

NPI: 1720168644
Provider Name (Legal Business Name): PHI, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 UNSER BLVD SE
RIO RANCHO NM
87124-4740
US

IV. Provider business mailing address

2800 N 44TH ST SUITE 800
PHOENIX AZ
85008-1500
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: TRUDY M MCCONNAUGHHAY
Title or Position: CFO
Credential:
Phone: 337-235-2452