Provider Demographics
NPI:1801875166
Name:HEALTHNET AEROMEDICAL SERVICES INC.
Entity type:Organization
Organization Name:HEALTHNET AEROMEDICAL SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-340-8000
Mailing Address - Street 1:110 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25302-2340
Mailing Address - Country:US
Mailing Address - Phone:304-340-8000
Mailing Address - Fax:304-340-8007
Practice Address - Street 1:110 WYOMING ST STE 101
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25302-2340
Practice Address - Country:US
Practice Address - Phone:304-340-8000
Practice Address - Fax:304-340-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-13
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV320653416L0300X
WV3416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport