Provider Demographics
NPI:1780630087
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 1:2800 N 44TH ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1500
Mailing Address - Country:US
Mailing Address - Phone:800-421-6111
Mailing Address - Fax:
Practice Address - Street 1:801 AIRPORT WAY
Practice Address - Street 2:SUITE D
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354-3904
Practice Address - Country:US
Practice Address - Phone:209-549-2439
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMTA01186FMedicaid
CAZZZ01833ZMedicare ID - Type UnspecifiedPROV ID NUMBER