# EAGLEMED LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAGLEMED LLC
- **Other names:** EagleMed 28
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1871861211
- **Legal business name:** EAGLEMED LLC
- **Authorized official:** ERIC THOMAS (SVP OF REVENUE MANAGEMENT)
- **Authorized official phone:** (877) 288-5340

## Contact information

- **Practice address:** 552 PERIMETER RD \# A-5, GREENVILLE, SC 29605-5449
- **Practice address phone:** (877) 288-5340
- **Practice address fax:** (888) 777-7413
- **Mailing address:** PO BOX 108, WEST PLAINS, MO 65775-0108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2011
- **Last updated:** 09/27/2018