Organization Name: | EAGLE AIR MED |
NPI Number: | 1841243284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH L HUNT (PRESIDENT) |
Mailing Address: | 212 Freedom Way Blanding |
State: | UT US |
Postal Code: | 845113248 |
Phone Number: | 4356783222 |
Fax Number: | 4356783425 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 03/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 06-007 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |