Healthcare Provider Details

I. General information

NPI: 1306850938
Provider Name (Legal Business Name): PHI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 03/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9990 WAKEMAN DR.
MANASSAS VA
20110
US

IV. Provider business mailing address

P.O. BOX 54829
LOS ANGELES CA
90054-0829
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 Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1242
License Number StateVA

VIII. Authorized Official

Name: TRUDY MCCONNAUGHHAY
Title or Position: CFO
Credential:
Phone: 337-235-2452