NPIMap

Organization Active NPI

Guardian Flight LLC

  • Air Ambulance
  • Gallup, NM
National Provider Identifier
1235656562
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
GUARDIAN FLIGHT LLC
Practice address
2111 W Historic Hwy 66 Hanger 2
Gallup, NM 87301-6899
Phone
(801) 619-4900
NPI assigned
Aug 28, 2017
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
GUARDIAN FLIGHT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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 NU Primary

Addresses

Primary practice location

2111 W Historic Hwy 66 Hanger 2
Gallup, NM 87301-6899

Mailing address

PO Box 199
West Plains, MO 65775-0199
Phone (801) 619-4900

Other names 1

  • Gallup Med Flight Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180314001163 NM Part B Supplier - Ambulance Service Supplier 3476827353 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albuquerque, NM; Farmington, NM; Gallup, NM

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Guardian Flight LLC64 organizations share this tax ID, including this one
Part of
Guardian Flight LLC

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2111 W Historic Highway 66
Ste 2
Gallup, NM 87301
Phone (505) 250-1101

NPI Registry JSON

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1235656562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 199",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750199",
            "telephone_number": "801-619-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W HISTORIC HWY 66 HANGER 2",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016899",
            "telephone_number": "801-619-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN FLIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN FLIGHT LLC",
        "enumeration_date": "2017-08-28",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gallup Med Flight",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Gallup Med Flight",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.