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BALLARD AVIATION INC NPI 1790787430


NPI Information

NPI: 1790787430
Provider Name: BALLARD AVIATION INC

Doing Business As: EAGLEMED

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

CLIA Number: 17D2072303

Address:
6601 PUEBLO DR
WICHITA, KS
ZIP 67209
Phone: (800) 764-3343
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BALLARD AVIATION INC is an air transport ambulance in Wichita, KS. BALLARD AVIATION INC NPI is 1790787430. The provider is registered as an organization entity type.
The provider Is Doing Business As Eaglemed.

The provider's business location address is:

6601 PUEBLO DR
WICHITA, KS
ZIP 67209-926
Phone: (800) 764-3343
Fax: (316) 613-4801

The provider's authorized official is Dawn Zon .
The authorized official title is Director Of Administration and has the following contact phone number (800) 764-3343.

The CLIA number assigned to this NPI record is 17D2072303 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2005 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416A0800XAmbulanceAir Transport930KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147392MEDICARE PINARKANSAS
296001920MEDICAIDCOLORADO
3C446248MEDICARE PINCOLORADO
4119996MEDICARE PINKANSAS
5099097MEDICARE PINNEBRASKA
6=========-00MEDICAIDNEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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