NPIMap

Organization Active NPI

Guardian Flight LLC

  • Air Ambulance
  • Escanaba, MI
National Provider Identifier
1669991428
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
GUARDIAN FLIGHT LLC
Practice address
3405 Ludington St.
Escanaba, MI 49829-1300
Phone
(801) 619-4900
NPI assigned
Sep 13, 2017
Organization subpart
Yes
Parent organization
GUARDIAN FLIGHT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

3405 Ludington St.
Escanaba, MI 49829-1300

Mailing address

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

Other practice location 1

3300 Airport Rd
Escanaba, MI 49829-1057
Phone (877) 288-5340

Other names 1

  • Valley Med Flight Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171031000671 MI Part B Supplier - Ambulance Service Supplier 3476827353 5 other NPIs on this enrollment
Practice locations: Calumet, MI; Escanaba, MI; Gaylord, MI; Hancock, MI; Kingsford, MI

Other NPIs with the same Medicare PAC ID 13

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 13

Other NPIs on the same Medicare enrollment 5

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

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 4

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

Locations

3300 Airport Rd
Escanaba, MI 49829

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1669991428",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 LUDINGTON ST.",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291300",
            "telephone_number": "801-619-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498291057",
            "country_code": "US",
            "telephone_number": "877-288-5340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GUARDIAN FLIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN FLIGHT LLC",
        "enumeration_date": "2017-09-13",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "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": "417-257-1585"
    },
    "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": [
        {
            "organization_name": "Valley Med Flight",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Escanaba, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.