EAGLE AIR MED; NPI #1891746590

Contact Information

EAGLE AIR MED

2501 STATE AVENUE
SAN LUIS VALLEY REGIONAL AIRPORT BERGMAN FIELD
ALAMOSA, CO 81101

Phone: 435-678-3222
Fax: 435-678-3425
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 EAGLE AIR MED

NPI # 1891746590

LBN Legal business name EAGLE AIR MED

Authorized official ERIC THOMAS - (SVP OF REVENUE MANAGEMENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/15/2006

Last updated 09/26/2018 - About 8 years ago

Identifiers

License #

A003

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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