| Organization Name: | EAGLEMED LLC |
| NPI Number: | 1093948846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Mailing Address: | 3950 E 8th St Hngr A6 Hays |
| State: | KS US |
| Postal Code: | 676014540 |
| Phone Number: | 7856254482 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 09/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416A0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Air Transport |
| Taxonomy Definition: | |