Healthcare Provider Details

I. General information

NPI: 1548691249
Provider Name (Legal Business Name): MED-AIR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2013
Last Update Date: 12/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 BOULDERS PARK STE 103
RICHMOND VA
23225-5545
US

IV. Provider business mailing address

PO BOX 220
TAPPAHANNOCK VA
22560-0220
US

V. Phone/Fax

Practice location:
  • Phone: 804-445-8525
  • Fax: 804-445-8528
Mailing address:
  • Phone: 804-445-8525
  • Fax: 804-445-8528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0206009756
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number0206009756
License Number StateVA

VIII. Authorized Official

Name: MR. SEAN P MAGILL
Title or Position: PRESIDENT
Credential:
Phone: 804-455-8525