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MIDATLANTIC MEDEVAC LLC NPI 1346372562


NPI Information

NPI: 1346372562
Provider Name: MIDATLANTIC MEDEVAC LLC

Doing Business As: MIDATLANTIC MEDEVAC

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
230 NORTH BROAD STREET
SUITE 487
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 762-4713
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MIDATLANTIC MEDEVAC LLC is an air transport ambulance in Philadelphia, PA. MIDATLANTIC MEDEVAC LLC NPI is 1346372562. The provider is registered as an organization entity type.
The provider Is Doing Business As Midatlantic Medevac.

The provider's business location address is:

230 NORTH BROAD STREET
SUITE 487
PHILADELPHIA, PA
ZIP 19102-192
Phone: (215) 762-4713
Fax: (215) 762-1803

The provider's authorized official is Hal Spatz .
The authorized official title is Director and has the following contact phone number (215) 762-4713.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 9/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416A0800XAmbulanceAir Transport02134PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
191002039100OTHERPENNSYLVANIAAMERICHOICE
20254302000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
320051037OTHERPENNSYLVANIAAMERIHEALTH MERCY
430032593OTHERPENNSYLVANIAKEYSTONE MERCY HEALTH PLA
50254302000OTHERPENNSYLVANIABCBS
60254302000OTHERPENNSYLVANIAKEYSTONE HEALTH PLAN EAST
7=========OTHERPENNSYLVANIATRICARE
80254302000OTHERPENNSYLVANIAKEYSTONE 65
91011339OTHERPENNSYLVANIAAMERIHEALTH
101126864OTHERPENNSYLVANIAHORIZON NJ HEALTH
111268051OTHERPENNSYLVANIAAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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