Active NPI
Guardian Flight LLC
- Air Ambulance
- Gallup, NM
National Provider Identifier
1356868517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- GUARDIAN FLIGHT LLC
- Practice address
- 2111 W Highway 66
Temp 1 Space Addition
Gallup, NM 87301-6891 - Phone
- (801) 619-4900
- NPI assigned
- Aug 28, 2017
- Last updated
- Mar 2, 2020
- Organization subpart
- Yes
- Parent organization
- GUARDIAN FLIGHT 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 of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
2111 W Highway 66
Temp 1 Space Addition
Gallup, NM 87301-6891
Mailing address
PO Box 199
West Plains, MO 65775-0199
Phone (801) 619-4900
Other names 1
- Aerocare Medical Transport
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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- Part of
- Guardian Flight LLC
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": "1356868517",
"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 HIGHWAY 66",
"address_2": "TEMP 1 SPACE ADDITION",
"city": "GALLUP",
"state": "NM",
"postal_code": "873016891",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aerocare Medical Transport",
"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.