EAGLEMED, LLC; NPI #1750774535

Contact Information

EAGLEMED, LLC

712 NE 14TH ST
GUYMON, OK 73942-3366

Phone: 877-288-5340
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for EAGLEMED, LLC

NPI #	`1750774535`
LBN Legal business name	EAGLEMED, LLC
Authorized official	ERIC THOMAS - (SVP OF REVENUE MANAGEMENT)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	03/18/2015
Last updated	09/27/2018 - About 8 years ago
Identifiers	n/a

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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