EAGLEMED LLC (NPI# 1205272440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205272440 |
| Entity Type | Organization |
| Organization Name | EAGLEMED LLC |
| Practice Address |
3001 Duggleby Drive Cody WY 82414-0000 |
| Mailing Address |
Po Box 108 West Plains MO 65775-0108 |
| Practice Telephone | 8772885340 |
| Enumeration Date | 2013-05-15 |
| 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 |
| 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 |
| 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 |
| 1629388061 | Eaglemed LLC | Ambulance | 5045 E Andersen Ave, Fresno, CA 93727-1502 | 2010-10-19 |
| 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 |
3001 DUGGLEBY DRIVE |
| City | CODY |
| State | WY |
| Zip Code | 82414-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073969374 | Melody Griebel | Counselor | 3026 Hardpan Ave., Unit A, Cody, WY 82414 | 2016-05-05 |
| 1073856431 | Christopher David Rice | Orthopaedic Surgery | 720 Lindsay Ln Ste C, Cody, WY 82414 | 2013-04-03 |
| 1629322037 | William H. and Carrie Gottsche Foundation | Point of Service | 790 Lindsay Ln, Cody, WY 82414 | 2012-11-07 |
| 1831445162 | Ryan T Vincent | Physical Therapist | 1526 Rumsey Ave, Cody, WY 82414 | 2012-07-24 |
| 1952699043 | Angela Mae Marchant | Physical Therapist | 1819 Sheridan Ave., Cody, WY 82414 | 2011-07-11 |
| 1245556943 | Lori Grubbs Swanton | Physical Therapist | 1130 Sheridan Ave Ste 210, Cody, WY 82414 | 2010-04-20 |
| 1629304589 | Big Horn Basin Childrens Clinic PC | Pediatrics | 1220 Sunshine Ave Suite 101, Cody, WY 82414 | 2009-10-28 |
| 1851539043 | Laurie Dee Hipwell | Registered Nurse | 424 Yellowstone Ave Ste 320, Cody, WY 82414 | 2009-01-27 |
| 1790933356 | Cynthia Shook Ruth | Physical Therapist | 1302 Beck Ave. Suite E, Children's Resource Center, Cody, WY 82414 | 2008-09-08 |
| 1386818185 | Nancy Joy Simpson | Registered Nurse | 73 Green Creek, Cody, WY 82414 | 2008-04-14 |
| Find all providers in zip 82414 | ||||
| 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 |
|---|---|---|---|---|
| 1629594841 | Guardian Flight LLC | Ambulance | 3201 Duggleby Dr Hngr 4, Cody, WY 82414-9763 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002768 | Guardian Flight LLC | Ambulance | 324 N Division St, Powell, WY 82435-2208 | 2017-09-12 |
| 1760908578 | Guardian Flight LLC | Ambulance | 170 Dupont Dr, Lander, WY 82520-3055 | 2017-08-15 |
| 1104342914 | Guardian Flight LLC | Ambulance | 614 Prairie Rd, Riverton, WY 82501-2226 | 2017-08-15 |
| 1104342922 | Guardian Flight LLC | Ambulance | 1456 Airport Rd, Worland, WY 82401-9568 | 2017-08-15 |
| 1518483395 | Guardian Flight LLC | Ambulance | 4526 Running W Dr Apt 103, Gillette, WY 82718-2065 | 2017-08-14 |
| 1518409523 | Guardian Flight | Ambulance | 4800 Airport Rd, Riverton, WY 82501-8207 | 2016-11-08 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1588178958 | Guardian Flight LLC | Ambulance | 388 Us Highway 20 S, Basin, WY 82410-8902 | 2017-11-21 |
| 1003294224 | Rocky Mountain Holdings, LLC | Ambulance | 1401 W 5th St, Sheridan, WY 82801-2705 | 2015-05-07 |
| 1790189611 | Rocky Mountain Holdings, LLC | Ambulance | 1200 College Dr, Rock Springs, WY 82901-5868 | 2014-10-21 |
| 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.