GUARDIAN FLIGHT LLC (NPI# 1164949483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164949483 |
| Entity Type | Organization |
| Organization Name | GUARDIAN FLIGHT LLC |
| Other Organization Name | EAGLE AIR MED |
| Practice Address |
Kayenta Mobile Home Park Hwy 163 Space 288 Kayenta AZ 86033 |
| Mailing Address |
Po Box 199 West Plains MO 65775-0199 |
| Practice Telephone | 8016194900 |
| Mailing Telephone | 8016194900 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUARDIAN FLIGHT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Eagle Air Med | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1649814724 | Guardian Flight LLC | Ambulance | 3474 Old Intl Airport Rd Ste A, Anchorage, AK 99502-1003 | 2019-11-01 |
| 1700433786 | Guardian Flight LLC | Ambulance | 1140 W Navajo St, Farmington, NM 87401-5404 | 2019-08-23 |
| 1588123673 | Guardian Flight LLC | Ambulance | 905 W Airport Rd, Springerville, AZ 85938-5015 | 2019-03-18 |
| 1043779135 | Guardian Flight LLC | Ambulance | 4500 E Aviation Way, Safford, AZ 85546-9479 | 2019-03-18 |
| 1982177010 | Guardian Flight LLC | Ambulance | 8001 Interport Blvd Ste 150, Englewood, CO 80112-6094 | 2019-01-11 |
| 1184105603 | Guardian Flight LLC | Ambulance | 655 S Rock Blvd, Reno, NV 89502-4118 | 2018-08-23 |
| 1659850832 | Guardian Flight LLC | Ambulance | 212 West Freedom Way, Blanding, UT 84511 | 2018-08-09 |
| 1912486275 | Guardian Flight LLC | Ambulance | 3151 E Airport Loop Ste 1, Show Low, AZ 85901-9583 | 2018-08-08 |
| 1821502345 | Guardian Flight LLC | Ambulance | 107 C Street, Dubois, WY 82513-0000 | 2017-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GUARDIAN FLIGHT LLC | 10888 S 300 W, South Jordan, UT 84095-4043 |
| Colorado Business Entities | Guardian Flight LLC | 10888 S 300 West, South Jordan, UT 84095 |
| Washington State Corporations | GUARDIAN FLIGHT LLC | 10888 S 300 W, South Jordan, UT 84095 |
| Street Address |
KAYENTA MOBILE HOME PARK HWY 163 SPACE 288 |
| City | KAYENTA |
| State | AZ |
| Zip Code | 86033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048306 | Pauletta A Butterfly | Social Worker | Hwy. 160 Mp 394.3, Kayenta, AZ 86033 | 2019-11-20 |
| 1871143255 | Andrea Dawn Begay | Nurse's Aide | Us Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1083264451 | Mavis Ann Bahe | Nurse's Aide | Kayenta Health Center, Us Hwy 160, Mp 394.3, Kayenta, AZ 86033 | 2019-09-17 |
| 1609420165 | Emily Ingram Nimon | Registered Nurse | Kayenta Health Center Hwy 160 M.p. 394.3, Kayenta, AZ 86033 | 2019-08-01 |
| 1700439577 | Sherri A Verdon | Registered Nurse | Hwy 160 M.p 394.3, Kayenta, AZ 86033 | 2019-07-22 |
| 1447712104 | Cynthia Kaye Robbins | Registered Nurse | Us Highway 160 Mile Post 394.3, Kayenta, AZ 86033 | 2019-04-02 |
| 1871051052 | Brian Jason Miller | Registered Nurse | Hwy 160, Mile Post 394.3, Kayenta, AZ 86033 | 2019-03-07 |
| 1265915615 | Marissa Brooke Wall | Optometrist | 394.3 Us-160, Kayenta, AZ 86033 | 2018-09-12 |
| 1467952762 | Michael Ruddy | Pharmacist | Hwy 160 1/2 Mile South of Mile Post 394.3, Kayenta, AZ 86033 | 2018-02-14 |
| 1922516319 | Xavier Kelton Nelson | Spec/Tech, Pathology | Highway 160 Mp 394.3, Kayenta Health Center, Kayenta, AZ 86033 | 2018-01-19 |
| Find all providers in zip 86033 | ||||
| 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 |
|---|---|---|---|---|
| 1952966087 | Rocky Mountain Holdings, LLC | Ambulance | 2755 Silvercreek Road, Bullhead City, AZ 86442-7904 | 2019-05-03 |
| 1588123673 | Guardian Flight LLC | Ambulance | 905 W Airport Rd, Springerville, AZ 85938-5015 | 2019-03-18 |
| 1043779135 | Guardian Flight LLC | Ambulance | 4500 E Aviation Way, Safford, AZ 85546-9479 | 2019-03-18 |
| 1407314784 | Rocky Mountain Holdings, LLC | Ambulance | 5880 Flightline Dr, Kingman, AZ 86401-6842 | 2019-03-06 |
| 1730646852 | Rocky Mountain Holdings, LLC | Ambulance | 3535 S Fortuna Ave, Yuma, AZ 85365-4207 | 2019-02-25 |
| 1114490836 | Ponderosa Aviation, Inc | Ambulance | 4500 Aviation Way, Safford, AZ 85546 | 2019-01-04 |
| 1912486275 | Guardian Flight LLC | Ambulance | 3151 E Airport Loop Ste 1, Show Low, AZ 85901-9583 | 2018-08-08 |
| 1952808230 | Med-trans Corporation | Ambulance | 1215 N Ivy Loop Ste 2, Casa Grande, AZ 85122-5406 | 2018-04-12 |
| 1093232258 | Guardian Flight LLC | Ambulance | Cvs Space 31, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| 1285151506 | Guardian Flight LLC | Ambulance | Cvs Space 32, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
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| 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.