Eaglemed LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

EAGLEMED LLC

Practice address

401 E Spruce St
Garden City, KS 67846-5679

Phone

(877) 288-5340

NPI assigned

Nov 16, 2011

Organization subpart

Yes

Parent organization

EAGLEMED LLCAs reported in NPPES

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

Addresses

Other names 1

• EM 19 Garden City Rotor Other name

Part of

Eaglemed LLC

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1336426535",
    "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": "401 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465679",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEMED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLEMED LLC",
        "enumeration_date": "2011-11-16",
        "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": "EM 19 Garden City Rotor",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EM 19 Garden City Rotor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Idalia Duncan, LSCSW
• Lynn Gage Dunford, CRNA
• Amber Dunlap, FNP-BC
• E. Grant Larkin, D.D.S.. P.a.
• Eaglemed LLC
• Paola Echeverria-Hernandez
• Ekm Family Center P.a
• Caroline Etok Elad, NP
• Dora Ellis, LSCSW
• Polly Elpers, APRN

• Air Ambulance in Garden City, KS
• Providers in Garden City, KS by specialty
• Air Ambulance in Kansas

• 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.