Healthcare Provider Details

I. General information

NPI: 1801875166
Provider Name (Legal Business Name): HEALTHNET AEROMEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 06/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 WYOMING ST STE 101
CHARLESTON WV
25302-2340
US

IV. Provider business mailing address

110 WYOMING ST
CHARLESTON WV
25302-2340
US

V. Phone/Fax

Practice location:
  • Phone: 304-340-8000
  • Fax: 304-340-8007
Mailing address:
  • Phone: 304-340-8000
  • Fax: 304-340-8007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number32065
License Number StateWV

VIII. Authorized Official

Name: MRS. TRACY DAWSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 304-340-8000