Organization Active NPI

Eaglemed LLC

  • Air Ambulance
  • Garden City, KS
National Provider Identifier
1114150950
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
EAGLEMED LLC
Practice address
2225 S Air Service Dr
Ste. 116
Garden City, KS 67846-9002
Phone
(877) 288-5340
NPI assigned
Aug 27, 2009
Organization subpart
Yes
Parent organization
EAGLEMED LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

Addresses

Primary practice location

2225 S Air Service Dr
Ste. 116
Garden City, KS 67846-9002

Mailing address

PO Box 108
West Plains, MO 65775-0108
Phone (877) 288-5340

Other names 1

  • EagleMed 3 Garden City Other name

National Provider Directory

National Provider Directory
Part of
Eaglemed LLC

Locations

2225 S Air Service Dr
Ste 116
Garden City, KS 67846
Phone (620) 276-7144

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1114150950",
    "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",
            "telephone_number": "877-288-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 S AIR SERVICE DR",
            "address_2": "STE. 116",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678469002",
            "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 3 Garden City",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EagleMed 3 Garden City",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden City, KS

Sources for this page

  • 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.