Provider Demographics
NPI:1306850938
Name:PHI, INC.
Entity Type:Organization
Organization Name:PHI, INC.
Other - Org Name:PHI AIR MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCONNAUGHHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-235-2452
Mailing Address - Street 1:P.O. BOX 54829
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90054-0829
Mailing Address - Country:US
Mailing Address - Phone:800-421-6111
Mailing Address - Fax:
Practice Address - Street 1:9990 WAKEMAN DR.
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:703-393-7379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416A0800X
VA12423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010202523Medicaid
VA010210836Medicaid
VA010210861Medicaid
VA010142385Medicaid
VA010210852Medicaid
VA010187923Medicaid
VA010142385Medicaid