Eagle Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

8205424-0160 Issued in UT

Legal business name

EAGLE MEDICAL LLC

Practice address

802 E Winchester St
Ste 240
Salt Lake City, UT 84107-7580

Phone

(801) 889-2399

NPI assigned

Jan 17, 2012

Organization subpart

No

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

Authorized official

Name

Aaron Melder

Title

Partner

Phone

(801) 889-2399

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eagle Medical Doing business as

Locations

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1366713711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E WINCHESTER ST",
            "address_2": "STE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077580",
            "telephone_number": "801-889-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 E WINCHESTER ST",
            "address_2": "STE 240",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841077580",
            "telephone_number": "801-889-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "MELDER",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "801-889-2399"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "UT",
            "license": "8205424-0160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366713711",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eagle Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.