NPIMap

Organization Active NPI

Guardian Flight LLC

  • Air Ambulance
  • Juneau, AK
National Provider Identifier
1366968133
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
GUARDIAN FLIGHT LLC
Practice address
8429 Livingston Way
Juneau, AK 99801-8098
Phone
(801) 619-4900
Fax
(801) 983-6052
NPI assigned
Aug 14, 2017
Organization subpart
Yes
Parent organization
GUARDIAN FLIGHT LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Eric Thomas
Title
SVP of Revenue Management
Phone
(877) 288-5340

Other NPIs on the same Medicare enrollment 16

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

View all 16

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180122002929 AK Part B Supplier - Ambulance Service Supplier 3476827353 16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenai, AK; Sitka, AK; Prudhoe Bay, AK; Ketchikan, AK; Juneau, AK; Fairbanks, AK; Anchorage, AK

National Provider Directory

National Provider Directory
Tax ID family
Guardian Flight LLC (64 organizations share this tax ID)
Part of
Guardian Flight LLC

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary
Land Ambulance 3416L0300X

Addresses

NPPES NPI Registry

Primary practice location

8429 Livingston Way
Juneau, AK 99801-8098

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2021.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1366968133",
    "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",
            "fax_number": "801-983-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8429 LIVINGSTON WAY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018098",
            "telephone_number": "801-619-4900",
            "fax_number": "801-983-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN FLIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN FLIGHT LLC",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "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
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juneau, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.