Active NPI
Guardian Flight LLC
- Air Ambulance
- Anchorage, AK
National Provider Identifier
1801312665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- GUARDIAN FLIGHT LLC
- Practice address
- 3474 Old Intl Airport Rd
Anchorage, AK 99502-1003 - Phone
- (801) 619-4900
- Fax
- (801) 983-6052
- NPI assigned
- Aug 14, 2017
- Last updated
- Feb 28, 2020
- Organization subpart
- Yes
- Parent organization
- GUARDIAN FLIGHT LLC
NPPES NPI Registry
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
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
3474 Old Intl Airport Rd
Anchorage, AK 99502-1003
Mailing address
PO Box 199
West Plains, MO 65775-0199
Phone (801) 619-4900
Other names 1
- Alaska Regional Life Flight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180122002929 | AK | Part B Supplier - Ambulance Service Supplier | 3476827353 |
16 other NPIs on this enrollment Practice locations: Kenai, AK; Sitka, AK; Prudhoe Bay, AK; Ketchikan, AK; Juneau, AK; Fairbanks, AK; Anchorage, AK |
Other NPIs with the same Medicare PAC ID 13
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 16
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Guardian Flight LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582848000000",
"number": "1801312665",
"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": "3474 OLD INTL AIRPORT RD",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995021003",
"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": "2020-02-28",
"certification_date": "2020-02-28",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alaska Regional Life Flight",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.