Organization Active NPI

Guardian Flight Inc

  • Air Ambulance
  • Fairbanks, AK
National Provider Identifier
1154375764
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
GUARDIAN FLIGHT INC
Practice address
5880 Old Airport Road
Fairbanks, AK 99709-4470
Phone
(801) 619-4900
Fax
(801) 619-8077
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 5055 AK
Air Ambulance 3416A0800X Primary
Land Ambulance 3416L0300X 6286 AK
Land Ambulance 3416L0300X

Addresses

Primary practice location

5880 Old Airport Road
Fairbanks, AK 99709-4470

Mailing address

10888 S 300 W
South Jordan, UT 84095-4043

Other identifiers 2

IdentifierTypeStateIssuer
AA3345MedicaidAK
GA3345MedicaidAK

Other names 1

  • Guardian Flight Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1154375764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10888 S 300 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840954043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 OLD AIRPORT ROAD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094470",
            "telephone_number": "801-619-4900",
            "fax_number": "801-619-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN FLIGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2018-09-26",
        "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": "AK",
            "license": "5055",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AK",
            "license": "6286",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AA3345",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA3345",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Flight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Flight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.