Provider Demographics
NPI:1750494266
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:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:MCCANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-235-2452
Mailing Address - Street 1:P.O. BOX 514740
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-4740
Mailing Address - Country:US
Mailing Address - Phone:800-621-6111
Mailing Address - Fax:
Practice Address - Street 1:3500 DEPAUW BLVD
Practice Address - Street 2:PYRAMID 1, SUITE 1042
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46568
Practice Address - Country:US
Practice Address - Phone:317-347-8025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200489610AMedicaid
IN200489610AMedicaid