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Organization

EAGLE AIR MED CORPORATION

Active
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Organization

EAGLE AIR MED CORPORATION

Active
Parent organization
EAGLE AIR MED CORPORATION
Other names
Eagle Air Med
Organization subpart
Yes

Provider details

NPI number
Legal business name
EAGLE AIR MED CORPORATION
Authorized official
MR. ERIC THOMAS (SVP OF REVENUE MANAGEMENT)
(877) 728-8534
Entity
Organization

Contact information

Practice address
CHINLE MUNICIPAL AIRPORT, CHINLE, AZ 86503
(801) 619-4900
(801) 619-8077
Mailing address
10888 S 300 W, SOUTH JORDAN, UT 84095-4043
(801) 619-4900
(801) 619-8077

Taxonomy

Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
AIR
AZ
3416A0800X
Air Ambulance
Primary
AZ
3416L0300X
Land Ambulance
06-0007
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
19929323
CO
05
387169
AZ
05
804717
AZ
05
R2833
NM
Enumeration date
08/10/2006
Last updated
09/26/2018
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