Organization Active NPI

Blue Eagle Logistics Inc

  • Non-emergency Medical Transport (VAN)
  • Fairview Heights, IL
National Provider Identifier
1164289823
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLUE EAGLE LOGISTICS INC
Practice address
10800 Lincoln TRL Ste 7
Fairview Heights, IL 62208-2021
Phone
(855) 779-8800
NPI assigned
Feb 29, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mr. Tony Smoote
Title
Owner
Phone
(855) 779-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

10800 Lincoln TRL Ste 7
Fairview Heights, IL 62208-2021

Mailing address

10800 Lincoln TRL Ste Fairview
Fairview Heights, IL 62208-2022
Phone (855) 779-8800

National Provider Directory

National Provider Directory

Locations

10800 Lincoln Trl
Fairview Heights, IL 62208

10800 Lincoln Trl
Ste 7
Fairview Heights, IL 62208
Phone (855) 779-8800

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1164289823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LINCOLN TRL STE FAIRVIEW",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082022",
            "telephone_number": "855-779-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LINCOLN TRL STE 7",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082021",
            "telephone_number": "855-779-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE EAGLE LOGISTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "SMOOTE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-779-8800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.