Eagle Air Med

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

A003 Issued in CO

Legal business name

EAGLE AIR MED

Practice address

2501 State Avenue
San Luis Valley Regional Airport Bergman Field
Alamosa, CO 81101

Phone

(435) 678-3222

Fax

(435) 678-3425

NPI assigned

May 15, 2006

Organization subpart

No

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

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1891746590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 FREEDOM WAY",
            "city": "BLANDING",
            "state": "UT",
            "postal_code": "845113248",
            "telephone_number": "435-678-3222",
            "fax_number": "435-678-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 STATE AVENUE",
            "address_2": "SAN LUIS VALLEY REGIONAL AIRPORT BERGMAN FIELD",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "81101",
            "telephone_number": "435-678-3222",
            "fax_number": "435-678-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE AIR MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2018-09-26",
        "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": "CO",
            "license": "A003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biseida Duque, CACII
• Aaliyah S Duran, LPCC
• Anastacio J Duran, PHARM.D
• Lisha Duran
• Marie B Duran
• Peggy Eakin, CAC II & LPC
• Early Oral Health Interception LLC
• Frances Echeverria, MSW
• Connie Edgar, N.P. C
• Jill Ann Edwards, RDH

• Air Ambulance in Alamosa, CO
• Providers in Alamosa, CO by specialty
• Air Ambulance in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.