Provider Demographics
NPI:1598050916
Name:MED-AIR INC
Entity Type:Organization
Organization Name:MED-AIR INC
Other - Org Name:MED-AIR HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-445-8525
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:TAPPAHANNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22560-0220
Mailing Address - Country:US
Mailing Address - Phone:804-445-8525
Mailing Address - Fax:804-445-8528
Practice Address - Street 1:390 KINGS HWY
Practice Address - Street 2:STE 103
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-3245
Practice Address - Country:US
Practice Address - Phone:540-899-9065
Practice Address - Fax:540-899-9069
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MED-AIR INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA173463OtherANTHEM
VA173463OtherANTHEM