EAGLEMED LLC (NPI# 1164862165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164862165 |
| Entity Type | Organization |
| Organization Name | EAGLEMED LLC |
| Practice Address |
9025 4th St Gbd Airport Great Bend KS 67530-9767 |
| Mailing Address |
Po Box 108 West Plains MO 65775-0108 |
| Practice Telephone | 8772885340 |
| Enumeration Date | 2013-07-05 |
| 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 | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| 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 |
| 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 |
| 1629388061 | Eaglemed LLC | Ambulance | 5045 E Andersen Ave, Fresno, CA 93727-1502 | 2010-10-19 |
| 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 |
9025 4TH ST GBD AIRPORT |
| City | GREAT BEND |
| State | KS |
| Zip Code | 67530-9767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689022659 | Med-trans Corporation | Ambulance | 9025 4th St, Great Bend, KS 67530-9767 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609488048 | Taryn Mitchell | Pharmacist | 3910 10th St, Great Bend, KS 67530 | 2020-08-18 |
| 1972113678 | Sarah Schenek | Counselor | 1819 11th Street, Great Bend, KS 67530 | 2020-08-06 |
| 1407471840 | Joanne Renee Wondra | Counselor | 801 Patton Road, Great Bend, KS 67530 | 2020-06-11 |
| 1144852302 | Rosenberg Dentistry: Joe Rosenberg Dds. Pa | Dentist | 1037 Sheridan Suite D, Great Bend, KS 67530 | 2020-02-06 |
| 1265895908 | Kayti Trapp | Physical Therapy Assistant | 1514 Ks-96 Hwy, Great Bend, KS 67530 | 2016-03-31 |
| 1083732069 | Drew Andrew Hosman Sr. | Counselor | 1105 Main St Ste D, Great Bend, KS 67530 | 2007-03-27 |
| 1912060435 | Larry G Kutina | Dentist | 3820 6th Street, Great Bend, KS 67530 | 2006-12-18 |
| 1144308883 | Hcc-healthcare of Great Bend, LLC | Skilled Nursing Facility | 1560 K96 Highway, Great Bend, KS 67530 | 2006-11-01 |
| 1841370699 | Edward Lake Jones | Pathology | 2001 Lincoln, Great Bend, KS 67530 | 2006-10-16 |
| 1407955529 | William G Hafner | Chiropractor | 1309 Williams St., Great Bend, KS 67530 | 2006-09-22 |
| Find all providers in zip 67530 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063457851 | City of Great Bend | Ambulance | 1205 Williams St, Great Bend, KS 67530-4446 | 2006-06-17 |
| 1689022659 | Med-trans Corporation | Ambulance | 9025 4th St, Great Bend, KS 67530-9767 | 2016-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508395351 | County of Pottawatomie | Ambulance | 406 Miller Dr # F, Wamego, KS 66547-1209 | 2017-06-06 |
| 1447795778 | County of Atchison | Ambulance | 10443 Us Highway 59, Atchison, KS 66002-9297 | 2016-12-22 |
| 1538611322 | City of Clearwater | Ambulance | 319 W Ross St, Clearwater, KS 67026-9477 | 2016-10-27 |
| 1578940789 | Burrton Consolidated Fire District #5 | Ambulance | 111 N Burrton Ave, Burrton, KS 67020-2009 | 2015-04-27 |
| 1144637489 | City of Winfield | Ambulance | 817 Fuller St, Winfield, KS 67156-2823 | 2014-07-18 |
| 1356781140 | Barton County Transfer Service Inc. | Ambulance | 309 W Front St, Claflin, KS 67525 | 2013-06-26 |
| 1184976912 | County of Sherman | Ambulance | 1006 Center St, Goodland, KS 67735-2935 | 2012-10-03 |
| 1912277112 | Town and Country Ems, LLC | Ambulance | 824 Oregon St, Suite C, Hiawatha, KS 66434-2293 | 2012-01-04 |
| 1891063681 | Techs Inc | Ambulance | 509 N 9th St, Osage City, KS 66523-1704 | 2011-12-07 |
| 1992089924 | County of Russell | Ambulance | 311 S Fossil St, Russell, KS 67665-3031 | 2011-10-10 |
| Find all providers with the same taxonomy | ||||
| City | GREAT BEND |
| Zip Code | 67530 |
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.