Organization Active NPI

Lifeflight Eagle

  • Air Ambulance
  • Kansas City, MO
National Provider Identifier
1386648293
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
095257 Issued in MO
Legal business name
LIFEFLIGHT EAGLE
Practice address
7830 NW 100TH St
Kansas City, MO 64153-2323
Phone
(816) 283-9710
Fax
(816) 283-9730
NPI assigned
Jun 8, 2005
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Christine Zalar
Title
President Ceo
Phone
(816) 283-9710

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20111107000296 MO Part B Supplier - Ambulance Service Supplier 1759554850 Practice locations: Chillicothe, MO; Clinton, MO; Harrisonville, MO; Kansas City, MO; Odessa, MO

National Provider Directory

National Provider Directory
Tax ID family
Lifeflight Eagle (2 organizations share this tax ID)

Locations

13902 Liv 253
Chillicothe, MO 64601
Phone (660) 214-9010

403 E Gaines Dr
Clinton, MO 64735
Phone (660) 885-9500

27503 S State Route 7 S
Harrisonville, MO 64701
Phone (816) 380-6601

500 NW Richards Rd
Kansas City, MO 64116
Phone (816) 283-9710

7830 NW 100th St
Kansas City, MO 64153
Phone (660) 214-9010

12514 Old Highway 40
Odessa, MO 64076
Phone (816) 633-5777

1402 Airport Rd
Trenton, MO 64683
Phone (660) 339-7649

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 095257 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

7830 NW 100TH St
Kansas City, MO 64153-2323

Mailing address

7830 NW 100TH St
Kansas City, MO 64153-2323
Phone (816) 283-9710

Other practice location 1

500 NW Richards Road
Kansas City, MO 64116
Phone (816) 936-9533

Other identifiers 8

NPPES NPI Registry
IdentifierTypeStateIssuer
054560OtherFAMILY HEALTH PARTNERS
590013663OtherRAILROAD MEDICARE
100273460AMedicaidKS
23736011OtherMOBLUE CROSS BLUE SHIELD
912284200MedicaidFL
803768209MedicaidMO
11339OtherHEALTHCARE USA
795752OtherKSBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2022.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1386648293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7830 NW 100TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641532323",
            "telephone_number": "816-283-9710",
            "fax_number": "816-283-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7830 NW 100TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641532323",
            "telephone_number": "816-283-9710",
            "fax_number": "816-283-9730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 NW Richards Road",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64116",
            "country_code": "US",
            "telephone_number": "816-936-9533",
            "fax_number": "816-283-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEFLIGHT EAGLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "ZALAR",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "816-283-9710"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MO",
            "license": "095257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY HEALTH PARTNERS",
            "identifier": "054560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013663",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100273460A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "23736011",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912284200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "803768209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE USA",
            "identifier": "11339",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "795752",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.