# MEDWAY AIR AMBULANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962619817
- **Authorized official:** MARK CHAPMAN (VICE PRESIDENT BUSINESS DEVELOPMENT)
- **Authorized official phone:** (770) 963-1412

## Contact information

- **Practice address:** 570 BRISCOE BLVD, LAWRENCEVILLE, GA 30046-4637
- **Practice address phone:** (478) 714-8838
- **Mailing address:** PO BOX 490907, LAWRENCEVILLE, GA 30049-0016
- **Mailing address phone:** (770) 963-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 02/21/2023