# EAGLE AIR MED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841243284
- **Authorized official:** ERIC THOMAS I (SVP OF REVENUE MANAGEMENT)
- **Authorized official phone:** (877) 288-5340

## Contact information

- **Practice address:** 212 FREEDOM WAY, BLANDING, UT 84511-3248
- **Practice address phone:** (435) 678-3222
- **Practice address fax:** (435) 678-3425
- **Mailing address:** 212 FREEDOM WAY, BLANDING, UT 84511-3248
- **Mailing address phone:** (435) 678-3222
- **Mailing address fax:** (435) 678-3425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | 1090L | UT | Yes |
| 3416L0300X | Land Ambulance | 06-007 | AZ | — |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 09/26/2018