NPIMap

Organization Active NPI

Guardian Flight LLC

  • Land Ambulance
  • Juneau, AK
National Provider Identifier
1417609686
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
GUARDIAN FLIGHT LLC
Practice address
8429 Livingston Way
Juneau, AK 99801-8098
Phone
(877) 288-5340
NPI assigned
Jan 19, 2022
Organization subpart
Yes
Parent organization
GUARDIAN FLIGHT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Authorized official

Name
Eric Thomas
Title
SVP of Rev Management
Phone
(877) 288-5340

Specialties & licenses 2

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

Addresses

Primary practice location

8429 Livingston Way
Juneau, AK 99801-8098

Mailing address

PO Box 199
West Plains, MO 65775-0199

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

Other NPIs on the same Medicare enrollment 16

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

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Guardian Flight LLC64 organizations share this tax ID, including this one
Part of
Guardian Flight LLC

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

1873 Shell Simmons Dr
Juneau, AK 99801

8429 Livingston Way
Juneau, AK 99801
Phone (907) 523-0570

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1417609686",
    "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"
        },
        {
            "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": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN FLIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN FLIGHT LLC",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REV MANAGEMENT",
        "authorized_official_telephone_number": "877-288-5340"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 5, 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.