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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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