Active NPI
Eaglemed LLC
- Land Ambulance
- Scottsbluff, NE
National Provider Identifier
1306196431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- EAGLEMED LLC
- Practice address
- 1934 3Rd Ave
Scottsbluff, NE 69361-2418 - Phone
- (877) 288-5340
- NPI assigned
- Sep 17, 2012
- Last updated
- Sep 27, 2018
- Organization subpart
- Yes
- Parent organization
- EAGLEMED LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Thomas
- Title
- SVP Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1934 3Rd Ave
Scottsbluff, NE 69361-2418
Mailing address
PO Box 108
West Plains, MO 65775-0108
National Provider Directory
National Provider Directory- Part of
- Eaglemed LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1306196431",
"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": "1934 3RD AVE",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693612418",
"telephone_number": "877-288-5340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLEMED LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAGLEMED LLC",
"enumeration_date": "2012-09-17",
"last_updated": "2018-09-27",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SVP REVENUE MANAGEMENT",
"authorized_official_telephone_number": "877-288-5340"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
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.