Active NPI
Phi, Inc.
Doing business as PHI Air Medical
- Air Ambulance
- Manassas, VA
National Provider Identifier
1306850938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- PHI, INC.
- Doing business as
- PHI Air Medical
- Practice address
- 9990 Wakeman Dr.
Manassas, VA 20110 - Phone
- (703) 393-7379
- NPI assigned
- Jul 28, 2006
- Last updated
- Mar 5, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Trudy McConnaughhay
- Title
- Cfo
- Phone
- (337) 235-2452
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary | ||
| Land Ambulance | 3416L0300X | 1242 | VA |
Addresses
Primary practice location
9990 Wakeman Dr.
Manassas, VA 20110
Mailing address
P.O. Box 54829
Los Angeles, CA 90054-0829
Phone (800) 421-6111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010187923 | Medicaid | VA | |
| 010142385 | Medicaid | VA | |
| 010202523 | Medicaid | VA | |
| 010210836 | Medicaid | VA | |
| 010210852 | Medicaid | VA | |
| 010210861 | Medicaid | VA |
Other names 1
- PHI Air Medical
National Provider Directory
National Provider DirectoryLocations
9990 Wakeman Dr
Manassas, VA 20110
Phone (703) 393-7379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1306850938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 54829",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900540829",
"telephone_number": "800-421-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9990 WAKEMAN DR.",
"city": "MANASSAS",
"state": "VA",
"postal_code": "20110",
"telephone_number": "703-393-7379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "MCCONNAUGHHAY",
"authorized_official_first_name": "TRUDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "337-235-2452"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "1242",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010187923",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010142385",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010202523",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010210836",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010210852",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010210861",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHI Air Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.