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Contact Information

MIDATLANTIC MEDEVAC LLC
230 NORTH BROAD STREET
SUITE 487
PHILADELPHIA, PA19102-1192
 Phone: 215-762-4713
 Fax: 215-762-1803
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MIDATLANTIC MEDEVAC LLC

NPI Number 1346372562
LBN Legal business name MIDATLANTIC MEDEVAC LLC
Authorized official HAL SPATZ - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2007
Last updated 09/26/2008 - About 18 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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