Active NPI
Phi Health, LLC
- Air Ambulance
- Baltimore, MD
National Provider Identifier
1962847210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 203
- Legal business name
- PHI HEALTH, LLC
- Practice address
- 701 Wilson Point Rd Ste 400
Baltimore, MD 21220-4238 - Phone
- (410) 918-1148
- NPI assigned
- Apr 30, 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
- Michael Lawrence Boyle
- Title
- Cfo
- Phone
- (800) 421-6111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 203 | MD | Primary |
Addresses
Primary practice location
701 Wilson Point Rd Ste 400
Baltimore, MD 21220-4238
Mailing address
2800 N 44TH St Ste 800
Phoenix, AZ 85008-1584
Phone (800) 421-6111
Other names 1
- PHI Air Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130806000124 | MD | Part B Supplier - Ambulance Service Supplier | 7416975784 | Practice locations: Baltimore, MD |
Other NPIs with the same Medicare PAC ID 12
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Phi Air Medical
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723420800000",
"number": "1962847210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 N 44TH ST STE 800",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850081584",
"telephone_number": "800-421-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 WILSON POINT RD STE 400",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212204238",
"telephone_number": "410-918-1148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHI HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-30",
"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": "MD",
"license": "203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PHI Air Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baltimore, MD
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.