EAGLEMED LLC (NPI# 1184857955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184857955 |
| Entity Type | Organization |
| Organization Name | EAGLEMED LLC |
| Other Organization Name | EAGLEMED 11 WICHITA RW |
| Practice Address |
6601 W Pueblo Dr Wichita KS 67209-2926 |
| Mailing Address |
Po Box 108 West Plains MO 65775-0108 |
| Practice Telephone | 8772885340 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLEMED LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| EagleMed 11 Wichita RW | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548672744 | Eaglemed LLC | Ambulance | 4602 Harrison Ave, Butte, MT 59701-6965 | 2014-05-22 |
| 1710301577 | Eaglemed LLC | Ambulance | 9103 Boudreaux Rd, Tomball, TX 77375-7402 | 2014-02-13 |
| 1164862165 | Eaglemed LLC | Ambulance | 9025 4th St, Gbd Airport, Great Bend, KS 67530-9767 | 2013-07-05 |
| 1205272440 | Eaglemed LLC | Ambulance | 3001 Duggleby Drive, Cody, WY 82414-0000 | 2013-05-15 |
| 1942545058 | Eaglemed LLC | Ambulance | 1005 N Strong Blvd, Mcalester, OK 74501-4221 | 2012-11-29 |
| 1306196431 | Eaglemed LLC | Ambulance | 1934 3rd Ave, Scottsbluff, NE 69361-2418 | 2012-09-17 |
| 1467700500 | Eaglemed LLC | Ambulance | 240851 Airport Avenue C, Scottsbluff, NE 69361-0000 | 2012-08-21 |
| 1770848905 | Eaglemed LLC | Ambulance | 7425 S Peoria St, Englewood, CO 80112-4168 | 2012-07-13 |
| 1134488612 | Eaglemed LLC | Ambulance | 2080 Airport Dr, San Marcos, TX 78666-9667 | 2012-05-03 |
| 1871861211 | Eaglemed LLC | Ambulance | 552 Perimeter Rd # A-5, Greenville, SC 29605-5449 | 2011-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | EagleMed LLC | 6601 W. Pueblo, Wichita, KS 67209 |
| Oklahoma Business Registrations | EAGLEMED LLC | 6601 W Pueblo, Wichita, KS 67209 |
| Street Address |
6601 W PUEBLO DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194174383 | Med-trans Corporation | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2016-06-08 |
| 1346609898 | Med-trans Corporation | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2016-02-12 |
| 1679930010 | Med-trans Corporation | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2016-01-15 |
| 1285968313 | Eaglemed LLC | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2009-09-22 |
| 1326271164 | Eaglemed LLC | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634878 | Vonda Jeanne Foster | Pharmacist | 1402 S. Ridge Rd, Wichita, KS 67209 | 2020-09-18 |
| 1780290437 | Gaia R Priddle | Pharmacist | 1402 S Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1134735889 | Thomas Allan Ruesch | Pharmacist | 1402 South Ridge Road, Wichita, KS 67209 | 2020-09-18 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1922401785 | Jesse C Hidalgo Jr. | Hearing Instrument Specialist | 10318 W Maple St, Wichita, KS 67209 | 2014-10-07 |
| 1932458106 | West Wichita Assisted Living, LLC | Assisted Living Facility | 629 S. Maize Ct, Wichita, KS 67209 | 2012-09-04 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| 1740598044 | Devin Jeanne Vrana | Chiropractor | 1247 S Tyler Rd, Wichita, KS 67209 | 2010-09-21 |
| 1881881019 | Jessica Harmon | Counselor | 501 S Turquoise St, Wichita, KS 67209 | 2007-10-02 |
| 1225246317 | Sullivan Gang Care Center | Technician | 6719 W. Douglas Circle, Wichita, KS 67209 | 2007-05-20 |
| Find all providers in zip 67209 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700055340 | Airmd, LLC | Ambulance | 3445 N Webb Rd, Wichita, KS 67226-8125 | 2008-02-28 |
| 1790787430 | Ballard Aviation Inc | Ambulance | 6601 Pueblo Dr, Wichita, KS 67209-2926 | 2005-08-12 |
| 1346609898 | Med-trans Corporation | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2016-02-12 |
| 1679930010 | Med-trans Corporation | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2016-01-15 |
| 1326271164 | Eaglemed LLC | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427532951 | Med-trans Corporation | Ambulance | 540 Airport Rd, Junction City, KS 66441-4725 | 2018-09-20 |
| 1760966303 | Med-trans Corporation | Ambulance | 1930 N 7th St, Lawrence, KS 66044-5391 | 2018-09-19 |
| 1942662309 | Med-trans Corporation | Ambulance | 800 S Country Club Rd Ste A, Chanute, KS 66720-5298 | 2016-03-24 |
| 1033574801 | Med-trans Corporation | Ambulance | 2145 S Air Service Dr, Garden City, KS 67846-9100 | 2015-12-22 |
| 1548588411 | Eaglemed LLC | Ambulance | 757 Terminal Rd, Liberal, KS 67901-5117 | 2010-05-17 |
| 1417180274 | Eaglemed LLC | Ambulance | 3420 Airport Rd, Pittsburg, KS 66762-8556 | 2009-08-27 |
| 1104059963 | Eaglemed LLC | Ambulance | 532 Renner Field Rd, Goodland, KS 67735-9207 | 2009-08-27 |
| 1114150950 | Eaglemed LLC | Ambulance | 2225 S Air Service Dr, Ste. 116, Garden City, KS 67846-9002 | 2009-08-27 |
| 1093948846 | Eaglemed LLC | Ambulance | 3950 E 8th St Hngr A6, Hays, KS 67601-4540 | 2009-08-27 |
| 1811120686 | Eaglemed LLC | Ambulance | 800 South Country Club Road, Suite A, Chanute, KS 66720-5298 | 2009-08-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.