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Contact Information

EAGLE AIR MED CORPORATION
CHINLE MUNICIPAL AIRPORT
CHINLE, AZ86503
 Phone: 801-619-4900
 Fax: 801-619-8077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Air Transport

3416A0800X 59 Ambulance Service Provider
 

Land Transport

3416L0300X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for EAGLE AIR MED CORPORATION

NPI Number 1427069962
LBN Legal business name EAGLE AIR MED CORPORATION
Authorized official ERIC THOMAS - (SVP OF REVENUE MANAGEMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/10/2006
Last updated 09/26/2018 - About 8 years ago
Identifiers
AZ License # 06-0007
AZ License # AIR
AZ Medicaid 387169
AZ Medicaid 804717
CO Medicaid 19929323
NM Medicaid R2833
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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