Organization Active NPI

Phi Air Medical, L.L.C.

  • Air Ambulance
  • Bristol, TN
National Provider Identifier
1447693015
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
EMS00000010120 Issued in TN
Legal business name
PHI AIR MEDICAL, L.L.C.
Practice address
144 Nascar Blvd
Bristol, TN 37620-8932
Phone
(423) 652-1112
NPI assigned
Apr 12, 2013
Last updated
Aug 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Lawrence Boyle
Title
Cfo
Phone
(800) 421-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X EMS00000010120 TN Primary

Addresses

Primary practice location

144 Nascar Blvd
Bristol, TN 37620-8932

Mailing address

PO Box 731884
Dallas, TX 75373-1884
Phone (800) 421-6111

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1447693015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 731884",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753731884",
            "telephone_number": "800-421-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 NASCAR BLVD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376208932",
            "telephone_number": "423-652-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHI AIR MEDICAL, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "800-421-6111"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "TN",
            "license": "EMS00000010120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.