National Provider Identifier Database

MIDATLANTIC MEDEVAC LLC
Air Transport

Contact Information

MIDATLANTIC MEDEVAC LLC
230 NORTH BROAD STREET
SUITE 487
PHILADELPHIA, PA  19102-1192
Phone: 215-762-4713
Fax: 215-762-1803
Website:
Specialty Taxonomy Code
* Air Transport 3416A0800X

* Indicates primary specialty

NPI Profile & details for MIDATLANTIC MEDEVAC LLC

NPI Number 1346372562
Legal business name
LBN		 MIDATLANTIC MEDEVAC LLC
Authorized official HAL SPATZ - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/12/2007
Last updated 09/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 02134
  • PA Other: 1268051 AETNA
  • PA Other: 91002039100 AMERICHOICE
  • PA Other: 1011339 AMERIHEALTH
  • PA Other: 20051037 AMERIHEALTH MERCY
  • PA Other: 0254302000 BCBS
  • PA Other: 1126864 HORIZON NJ HEALTH
  • PA Other: 0254302000 INDEPENDENCE BLUE CROSS
  • PA Other: 0254302000 KEYSTONE 65
  • PA Other: 0254302000 KEYSTONE HEALTH PLAN EAST
  • PA Other: 30032593 KEYSTONE MERCY HEALTH PLA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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