GUARDIAN FLIGHT LLC (NPI# 1184141400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184141400 |
Entity Type | Organization |
Organization Name | GUARDIAN FLIGHT LLC |
Other Organization Name | EAGLE AIR MED |
Practice Address |
1506 Airport Road Rosebud SD 57570 |
Mailing Address |
Po Box 199 West Plains MO 65775-0199 |
Practice Telephone | 8016194900 |
Mailing Telephone | 8016194900 |
Enumeration Date | 2017-08-28 |
Last Update Date | 2020-03-02 |
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 |
1506 AIRPORT ROAD |
City | ROSEBUD |
State | SD |
Zip Code | 57570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842618 | Lawrence Micheal Gary Sr. | Technician | 28926 Bia 1, Rosebud, SD 57570 | 2020-05-07 |
1629474549 | Rosebud Ihs Hospita;l | General Acute Care Hospital | Solder Creek Road, Rosebud, SD 57570 | 2014-11-05 |
1073867420 | Rosebud Sioux Tribe -chr | Private Vehicle | 729 Hospital Drive, Rosebud, SD 57570 | 2012-11-07 |
1053662577 | Barbara Jean Davis | Registered Nurse | Bia Route 1, Rosebud, SD 57570 | 2012-09-24 |
1760760458 | Lucy Maria Reifel | Pediatrics | 100 Dialysis Lane, Rosebud, SD 57570 | 2011-07-28 |
1255577847 | Jacquelyn Hogan | Registered Nurse | Hwy 18, Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2009-01-02 |
1346426269 | Robin J Stenson | Registered Nurse | Hwy 18 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2008-01-10 |
1063602365 | Rosebud Sioux Tribe Alcohol Drug Treatment Program | Private Vehicle | #7 Hospital Lane, Rosebud, SD 57570 | 2007-08-01 |
1184826695 | Krista Horvath | Registered Nurse | Bia Rt 1 Soldier Creek Road, Rosebud Ihs Hospital, Rosebud, SD 57570 | 2007-06-05 |
1053441626 | Rosebud Ihs Hospital Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Hwy 18 400 Soldier Creek Rd, Rosebud, SD 57570 | 2007-03-06 |
Find all providers in zip 57570 |
Taxonomy Code | 3416A0800X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Air Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1740795780 | Oglala Sioux Tribe Air Rescue | Ambulance | Pine Ridge Comprehensive Hospital: 1201 E. Highway 18th, Pineridge, SD 57770 | 2017-12-13 |
1689912875 | Rocky Mountain Holdings LLC | Ambulance | 4025 Lacroix Ct, Rapid City, SD 57703 | 2013-01-22 |
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1215570759 | Oglala Lakota Air Rescue, LLC | Ambulance | 12 Airport Rd, Pine Ridge, SD 57770-3072 | 2019-10-28 |
1023299708 | Sanford Medical Center | Ambulance | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-11-21 |
1558427187 | Avera Mckennan | Ambulance | 1325 S Cliff Ave, Sioux Falls, SD 57105-1007 | 2006-12-28 |
Please comment or provide details below to improve the information on GUARDIAN FLIGHT 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.