Organization
UNIVERSITY MEDEVAC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL P HALTER FACHE (VICE PRESIDENT)
(215) 762-7000
Entity
Organization
Contact information
Practice address
245 N BROAD ST, HOSPITAL ADMINISTRATION, MS 300, PHILADELPHIA, PA 19107-1518
(215) 762-8177
Mailing address
245 N BROAD ST, HOSPITAL ADMINISTRATION, MS 300, PHILADELPHIA, PA 19107-1518
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
02134
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02134
PA DOH AIR AMB LICENSE
PA
Enumeration date
06/17/2006
Last updated
07/21/2022
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