Organization
MED-AIR INC
Active
Other names
MED-AIR HOMECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN P. MAGILL (PRESIDENT)
(804) 445-8525
Entity
Organization
Contact information
Practice address
1659 TAPPAHANNOCK BOULEVARD, TAPPAHANNOCK, VA 22560
(804) 445-8525
(804) 445-8528
Mailing address
PO BOX 220, TAPPAHANNOCK, VA 22560-0220
(804) 445-8525
(804) 445-8528
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0206009244
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173463
ANTHEM PROVIDER NUMBER
VA
Enumeration date
06/26/2006
Last updated
01/28/2008
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