Healthnet Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

32065 Issued in WV

Legal business name

HEALTHNET INC

Doing business as

HealthNet Aeromedical Services

Practice address

110 Wyoming St
Charleston, WV 25302-2340

Phone

(304) 340-8000

Fax

(304) 340-8007

NPI assigned

Feb 14, 2012

Last updated

Feb 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Clinton Burley

Title

President/Ceo

Phone

(304) 340-8000

Specialties & licenses 1

Addresses

Other names 1

• HealthNet Aeromedical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Healthnet Aeromedical Services Inc.

  • Air Ambulance
  • Charleston, WV
  • NPI 1801875166

  O20100621000501

  Same enrollment

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1902179500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WYOMING ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022340",
            "telephone_number": "304-340-8000",
            "fax_number": "304-340-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WYOMING ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022340",
            "telephone_number": "304-340-8000",
            "fax_number": "304-340-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHNET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "BURLEY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "304-340-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": "32065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthNet Aeromedical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Hazelwood
• Lucy Irene Hazelwood
• Shahd Hazim, DO
• Health Care and Retirement Corporation of America LLC (Heartland of Charleston)
• Healthnet Aeromedical Services Inc.
• Healthpath Medical & Psychiatric Care LLC
• Healthpath Medical & Psychiatric Care LLC (HealthPath Medical & Behavioral Health Services)
• Healthquest Therapy and Wellness
• Healthteam Critical Care Transport LLC
• Jacob Heard

• Land Ambulance in Charleston, WV
• Providers in Charleston, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.