EAGLEMED LLC (NPI# 1114150950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114150950 |
| Entity Type | Organization |
| Organization Name | EAGLEMED LLC |
| Other Organization Name | EAGLEMED 3 GARDEN CITY |
| Practice Address |
2225 S Air Service Dr Ste. 116 Garden City KS 67846-9002 |
| Mailing Address |
Po Box 108 West Plains MO 65775-0108 |
| Practice Telephone | 8772885340 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLEMED LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| EagleMed 3 Garden City | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548672744 | Eaglemed LLC | Ambulance | 4602 Harrison Ave, Butte, MT 59701-6965 | 2014-05-22 |
| 1710301577 | Eaglemed LLC | Ambulance | 9103 Boudreaux Rd, Tomball, TX 77375-7402 | 2014-02-13 |
| 1164862165 | Eaglemed LLC | Ambulance | 9025 4th St, Gbd Airport, Great Bend, KS 67530-9767 | 2013-07-05 |
| 1205272440 | Eaglemed LLC | Ambulance | 3001 Duggleby Drive, Cody, WY 82414-0000 | 2013-05-15 |
| 1942545058 | Eaglemed LLC | Ambulance | 1005 N Strong Blvd, Mcalester, OK 74501-4221 | 2012-11-29 |
| 1306196431 | Eaglemed LLC | Ambulance | 1934 3rd Ave, Scottsbluff, NE 69361-2418 | 2012-09-17 |
| 1467700500 | Eaglemed LLC | Ambulance | 240851 Airport Avenue C, Scottsbluff, NE 69361-0000 | 2012-08-21 |
| 1770848905 | Eaglemed LLC | Ambulance | 7425 S Peoria St, Englewood, CO 80112-4168 | 2012-07-13 |
| 1134488612 | Eaglemed LLC | Ambulance | 2080 Airport Dr, San Marcos, TX 78666-9667 | 2012-05-03 |
| 1871861211 | Eaglemed LLC | Ambulance | 552 Perimeter Rd # A-5, Greenville, SC 29605-5449 | 2011-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | EagleMed LLC | 6601 W. Pueblo, Wichita, KS 67209 |
| Oklahoma Business Registrations | EAGLEMED LLC | 6601 W Pueblo, Wichita, KS 67209 |
| Street Address |
2225 S AIR SERVICE DR STE. 116 |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574801 | Med-trans Corporation | Ambulance | 2145 S Air Service Dr, Garden City, KS 67846-9100 | 2015-12-22 |
| 1336426535 | Eaglemed LLC | Ambulance | 401 E Spruce St, Garden City, KS 67846-5679 | 2011-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427532951 | Med-trans Corporation | Ambulance | 540 Airport Rd, Junction City, KS 66441-4725 | 2018-09-20 |
| 1760966303 | Med-trans Corporation | Ambulance | 1930 N 7th St, Lawrence, KS 66044-5391 | 2018-09-19 |
| 1942662309 | Med-trans Corporation | Ambulance | 800 S Country Club Rd Ste A, Chanute, KS 66720-5298 | 2016-03-24 |
| 1548588411 | Eaglemed LLC | Ambulance | 757 Terminal Rd, Liberal, KS 67901-5117 | 2010-05-17 |
| 1417180274 | Eaglemed LLC | Ambulance | 3420 Airport Rd, Pittsburg, KS 66762-8556 | 2009-08-27 |
| 1184857955 | Eaglemed LLC | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2009-08-27 |
| 1104059963 | Eaglemed LLC | Ambulance | 532 Renner Field Rd, Goodland, KS 67735-9207 | 2009-08-27 |
| 1093948846 | Eaglemed LLC | Ambulance | 3950 E 8th St Hngr A6, Hays, KS 67601-4540 | 2009-08-27 |
| 1811120686 | Eaglemed LLC | Ambulance | 800 South Country Club Road, Suite A, Chanute, KS 66720-5298 | 2009-08-27 |
| 1700055340 | Airmd, LLC | Ambulance | 3445 N Webb Rd, Wichita, KS 67226-8125 | 2008-02-28 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
Please comment or provide details below to improve the information on EAGLEMED LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.