Healthcare Provider Details

I. General information

NPI: 1194066209
Provider Name (Legal Business Name): PHI HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2013
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9998 WAKEMAN DR
MANASSAS VA
20110-2702
US

IV. Provider business mailing address

2800 N 44TH ST STE 800
PHOENIX AZ
85008-1584
US

V. Phone/Fax

Practice location:
  • Phone: 703-393-7379
  • Fax:
Mailing address:
  • Phone: 800-421-6111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number1242
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1242
License Number StateVA

VIII. Authorized Official

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