EAGLE AIR MED NPI 1841243284

NPI Information

NPI: 1841243284
Provider Name: EAGLE AIR MED
Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
212 FREEDOM WAY
BLANDING, UT
ZIP 84511
Phone: (435) 678-3222
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EAGLE AIR MED is an air transport ambulance in Blanding, UT. EAGLE AIR MED NPI is 1841243284. The provider is registered as an organization entity type.

The provider's business location address is:

212 FREEDOM WAY
BLANDING, UT
ZIP 84511-248
Phone: (435) 678-3222
Fax: (435) 678-3425

The provider's authorized official is Eric Thomas .
The authorized official title is Svp Of Revenue Management and has the following contact phone number (877) 288-5340.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 9/26/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	06-007	ARIZONA	No
2	3416A0800X	Ambulance	Air Transport	1090L	UTAH	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	387169	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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