Eaglemed LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

EAGLEMED LLC

Practice address

800 South Country Club Road
Suite a
Chanute, KS 66720-5298

Phone

(877) 288-5340

NPI assigned

Aug 27, 2009

Last updated

Sep 27, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

EAGLEMED LLCAs reported in NPPES

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

Addresses

Other names 1

• EagleMed 14 Chanute Other name

Part of

Eaglemed LLC

Locations

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1811120686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 108",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750108",
            "telephone_number": "877-288-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SOUTH COUNTRY CLUB ROAD",
            "address_2": "SUITE A",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667205298",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLEMED LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLEMED LLC",
        "enumeration_date": "2009-08-27",
        "last_updated": "2018-09-27",
        "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": "EagleMed 14 Chanute",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EagleMed 14 Chanute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monique Dickinson, NP
• Lesli Dillman
• Martin Wayne Dillow, MD
• Diversicare of Chanute LLC (Diversicare of Chanute)
• Ashleigh Nicole Dooley, LMSW
• Kellie C Eccles, OTR/L
• Jennifer Dawn Ellis, MS PT
• Nathan Ray Falk
• Skye Renee Finley, PTA
• FMS Midwest Dialysis Centers, LLC (Renal Care Group Chanute)

• Air Ambulance in Chanute, KS
• Providers in Chanute, KS by specialty
• Air Ambulance in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.