PHI HEALTH, LLC (NPI# 1780925990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780925990 |
| Entity Type | Organization |
| Organization Name | PHI HEALTH, LLC |
| Other Organization Name | PHI AIR MEDICAL |
| Practice Address |
801 Airport Way Ste D Modesto CA 95354-3904 |
| Mailing Address |
Po Box 731884 Dallas TX 75373-1884 |
| Practice Telephone | 2095492439 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | JEFFREY JAMES STANEK (VICE PRESIDENT, FINANCE) |
| Authorized Official Telephone | 6022243517 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
2123 | CA | Transportation Services |
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| PHI Air Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760003594 | Phi Health, LLC | Ambulance | 582 Ramp Road, Suite C, Jackson, MS 39209 | 2020-05-04 |
| 1033604376 | Phi Health, LLC | Ambulance | 7154 E England Blvd, Inverness, FL 34452-6765 | 2018-06-28 |
| 1962847210 | Phi Health, LLC | Ambulance | 701 Wilson Point Rd Ste 400, Baltimore, MD 21220-4238 | 2013-04-30 |
| 1194066209 | Phi Health, LLC | Ambulance | 9990 Wakeman Dr, Manassas, VA 20110 | 2013-03-14 |
| 1033459524 | Phi Health, LLC | Ambulance | 1650 Aviation Dr, West Lafayette, IN 47906-3374 | 2013-02-21 |
| 1518216795 | Phi Health, LLC | Ambulance | 2676 Industrial Row Dr, Troy, MI 48084-7036 | 2012-09-05 |
| 1568721553 | Phi Health, LLC | Clinic/Center | 2405 E Grand Ave, Suite D, Box 136, Laramie, WY 82070-5206 | 2012-05-10 |
| 1326094020 | Phi Health, LLC | Ambulance | 2710 E Old Tower Rd, Suite A, Phoenix, AZ 85034-6001 | 2006-05-25 |
| 1306289996 | Phi Health, LLC | Ambulance | 1500 Industrial Blvd, C/o Phi Air Medical, Mckinney, TX 75069-7516 | 2013-04-12 |
| 1255674537 | Phi Health, LLC | Ambulance | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2013-04-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHI HEALTH, LLC | 2800 N 44th St Ste 800, Phoenix, AZ 85008-1584 |
| Iowa Business Entities | PHI HEALTH, LLC | 2001 Se Evangeline Thwy, Lafayette, LA 70508 |
| Street Address |
801 AIRPORT WAY STE D |
| City | MODESTO |
| State | CA |
| Zip Code | 95354-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987301 | Tristan Renee Bowman | Student in an Organized Health Care Education/Training Program | 1700 Mchenry Way, Modesto, CA 95354 | 2017-12-04 |
| 1134647944 | Melissa Kathleen Huizar | Occupational Therapist | 730 17th Street, Modesto, CA 95354 | 2017-08-31 |
| 1861948424 | Daniel Jones | Specialist/Technologist | 224 Eula Drive, Modesto, CA 95354 | 2016-09-01 |
| 1710333976 | Elite First Health | Clinic/Center | 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 | 2016-05-06 |
| 1790169084 | Ronika Rodriguez | Licensed Vocational Nurse | 328 Thrasher Ave, Modesto, CA 95354 | 2015-07-16 |
| 1942688528 | Progressive Home Health and Hospice Care, LLC | Home Infusion | 1619 H Street, Modesto, CA 95354 | 2015-05-14 |
| 1225434277 | Ashley Ann Brown | Case Manager/Care Coordinator | 1000 Needham, Modesto, CA 95354 | 2014-11-18 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1437441938 | Amy Marie Lipomi | Counselor | 613 13th Street, Suite B, Modesto, CA 95354 | 2011-05-03 |
| 1871800813 | Patricia Ashley Dalman | Social Worker | 1321 I Street Suite 3, Modesto, CA 95354 | 2010-09-13 |
| Find all providers in zip 95354 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780630087 | Phi Inc | Ambulance | 801 Airport Way, Suite D, Modesto, CA 95354-3904 | 2006-05-26 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.