Eagle Air Med

Organization Active NPI Air Ambulance · Crownpoint, NM

NPI 1538115332 · NPPES record last updated Jul 21, 2017

Key facts

NPI
1538115332
Entity type
Organization (NPI type 2)
Primary specialty
Air Ambulance 3416A0800X
License
F0009 (NM)
Legal business name
EAGLE AIR MED
Practice address
Crownpoint Municipal Airport
Crownpoint, NM 87313
Phone
(435) 678-3222
Fax
(435) 678-3425
NPI assigned
May 25, 2006
Organization subpart
No

Authorized official

Name
Mr. Eric Thomas
Title
SVP of Revenue Management
Phone
(417) 257-1585

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Eagle Air Med Corporation (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X F0009 NM Yes

Addresses

Primary practice location

Crownpoint Municipal Airport
Crownpoint, NM 87313

Mailing address

212 Freedom Way
Blanding, UT 84511-3248
Phone (435) 678-3222

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Air Ambulance in New Mexico

Sources for this page

Verify at the official NPI Registry.