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Organization

MIDATLANTIC MEDEVAC LLC

Active
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Organization

MIDATLANTIC MEDEVAC LLC

Active
Other names
MidAtlantic MedEvac
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HAL SPATZ (DIRECTOR)
(215) 762-4713
Entity
Organization

Contact information

Practice address
230 NORTH BROAD STREET, SUITE 487, PHILADELPHIA, PA 19102-1192
(215) 762-4713
(215) 762-1803
Mailing address
PO BOX 822356, PHILADELPHIA, PA 19182
(215) 762-4713
(215) 762-1803

Taxonomy

Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
02134
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0254302000
KEYSTONE HEALTH PLAN EAST
PA
01
1011339
AMERIHEALTH
PA
01
1126864
HORIZON NJ HEALTH
PA
01
1268051
AETNA
PA
01
20051037
AMERIHEALTH MERCY
PA
01
30032593
KEYSTONE MERCY HEALTH PLA
PA
01
91002039100
AMERICHOICE
PA
Enumeration date
03/12/2007
Last updated
09/26/2008
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