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Organization
EAGLE AIR MED
Active
Organization
EAGLE AIR MED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC THOMAS I (SVP OF REVENUE MANAGEMENT)
(877) 288-5340
Entity
Organization
Contact information
Practice address
212 FREEDOM WAY, BLANDING, UT 84511-3248
(435) 678-3222
(435) 678-3425
Mailing address
212 FREEDOM WAY, BLANDING, UT 84511-3248
(435) 678-3222
(435) 678-3425
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
1090L
UT
3416L0300X
Land Ambulance
06-007
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387169
—
AZ
Enumeration date
05/18/2006
Last updated
09/26/2018
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