Eaglemed LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

EAGLEMED LLC

Practice address

532 Renner Field Rd
Goodland, KS 67735-9207

Phone

(877) 288-5340

NPI assigned

Aug 27, 2009

Organization subpart

Yes

Parent organization

EAGLEMED LLCAs reported in NPPES

Part of

Eaglemed LLC

Locations

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Thomas

Title

SVP of Revenue Management

Phone

(877) 288-5340

Specialties & licenses 1

Addresses

Other names 1

• EagleMed 24 Goodland Other name

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1104059963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 RENNER FIELD RD",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677359207",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEMED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLEMED LLC",
        "enumeration_date": "2009-08-27",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EagleMed 24 Goodland",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EagleMed 24 Goodland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Larissa Coon, OTR
• County of Sherman
• Travis M Daise, MD
• David S Pfoff MD PC
• Perry William Desbien, MSN
• Dale Alwood Edwards, PTA
• Janna K Eisenbart, ARNP
• Jalyn Nicole Frewen, PHARMD
• Jessica Lynn Gittinger, APRN, FNP-C
• Gleason Chiropractic, P.a.

• All providers in Goodland, KS
• Air Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.