Organization
EAGLEMED LLC
Active
Parent organization
EAGLEMED LLC
Other names
EagleMed 11 Wichita RW
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLEMED LLC
Authorized official
ERIC THOMAS (SVP OF REVENUE MANAGEMENT)
(877) 288-5340
Entity
Organization
Contact information
Practice address
6601 W PUEBLO DR, WICHITA, KS 67209-2926
(877) 288-5340
Mailing address
PO BOX 108, WEST PLAINS, MO 65775-0108
(877) 288-5340
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Enumeration date
08/27/2009
Last updated
09/27/2018
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