Provider Demographics
NPI:1326094020
Name:PHI HEALTH, LLC
Entity Type:Organization
Organization Name:PHI HEALTH, LLC
Other - Org Name:AIR EVAC SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-224-3515
Mailing Address - Street 1:2800 N 44TH ST STE 800
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1584
Mailing Address - Country:US
Mailing Address - Phone:800-421-6111
Mailing Address - Fax:
Practice Address - Street 1:2710 E OLD TOWER RD
Practice Address - Street 2:SUITE A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-6001
Practice Address - Country:US
Practice Address - Phone:602-273-9378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103416A0800X, 3416A0800X
AZN/A3416A0800X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ804733Medicaid
AZ804733Medicaid