Active NPI
Midatlantic Medevac LLC
Doing business as MidAtlantic MedEvac
- Air Ambulance
- Philadelphia, PA
National Provider Identifier
1346372562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 02134
- Legal business name
- MIDATLANTIC MEDEVAC LLC
- Doing business as
- MidAtlantic MedEvac
- Practice address
- 230 North Broad Street
Suite 487
Philadelphia, PA 19102-1192 - Phone
- (215) 762-4713
- Fax
- (215) 762-1803
- NPI assigned
- Mar 12, 2007
- 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
- Mr. Hal Spatz
- Title
- Director
- Phone
- (215) 762-4713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 02134 | PA | Primary |
Addresses
Primary practice location
230 North Broad Street
Suite 487
Philadelphia, PA 19102-1192
Mailing address
PO Box 822356
Philadelphia, PA 19182
Phone (215) 762-4713
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1268051 | Other | PA | AETNA |
| 20051037 | Other | PA | AMERIHEALTH MERCY |
| 0254302000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 0254302000 | Other | PA | BCBS |
| 30032593 | Other | PA | KEYSTONE MERCY HEALTH PLA |
| 0254302000 | Other | PA | KEYSTONE 65 |
| 1126864 | Other | PA | HORIZON NJ HEALTH |
| 91002039100 | Other | PA | AMERICHOICE |
| 0254302000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1011339 | Other | PA | AMERIHEALTH |
Other names 1
- MidAtlantic MedEvac
National Provider Directory
National Provider DirectoryLocations
230 N Broad St
Ste 487
Philadelphia, PA 19102
Phone (215) 762-4713
230 N Broad St
#487
Philadelphia, PA 19102
Phone (215) 762-8177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1346372562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 822356",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19182",
"telephone_number": "215-762-4713",
"fax_number": "215-762-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NORTH BROAD STREET",
"address_2": "SUITE 487",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191021192",
"telephone_number": "215-762-4713",
"fax_number": "215-762-1803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDATLANTIC MEDEVAC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-12",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "SPATZ",
"authorized_official_first_name": "HAL",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "215-762-4713",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "PA",
"license": "02134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1268051",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "20051037",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "0254302000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0254302000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY HEALTH PLA",
"identifier": "30032593",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE 65",
"identifier": "0254302000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "1126864",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "91002039100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0254302000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "1011339",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MidAtlantic MedEvac",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.