Provider Demographics
NPI:1265754634
Name:PHI, INC.
Entity type:Organization
Organization Name:PHI, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:800-421-6111
Mailing Address - Street 1:PO BOX 60199
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90060-0199
Mailing Address - Country:US
Mailing Address - Phone:800-421-6111
Mailing Address - Fax:602-224-1650
Practice Address - Street 1:151 SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-8932
Practice Address - Country:US
Practice Address - Phone:423-652-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101203416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103G594533Medicare PIN