Provider Demographics
NPI:1548691249
Name:MED-AIR, INC.
Entity type:Organization
Organization Name:MED-AIR, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:MAGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-455-8525
Mailing Address - Street 1:PO BOX 220
Mailing Address - Street 2:
Mailing Address - City:TAPPAHANNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22560-0220
Mailing Address - Country:US
Mailing Address - Phone:804-445-8525
Mailing Address - Fax:804-445-8528
Practice Address - Street 1:1000 BOULDERS PARK STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-5545
Practice Address - Country:US
Practice Address - Phone:804-445-8525
Practice Address - Fax:804-445-8528
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MED-AIR, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0206009756332BX2000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies