EAGLEMED LLC (NPI# 1306196431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306196431 |
| Entity Type | Organization |
| Organization Name | EAGLEMED LLC |
| Practice Address |
1934 3rd Ave Scottsbluff NE 69361-2418 |
| Mailing Address |
Po Box 108 West Plains MO 65775-0108 |
| Practice Telephone | 8772885340 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | ERIC THOMAS (SVP 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 | 3416L0300X |
Ambulance Specialization: Land 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 |
| 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 |
| 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 |
1934 3RD AVE |
| City | SCOTTSBLUFF |
| State | NE |
| Zip Code | 69361-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592803 | Sara Lynn Luehrs | Counselor | Westmoor Elementary, Scottsbluff Public Schools, 1722 Avenue K, Scottsbluff, NE 69361 | 2020-09-15 |
| 1467924076 | Kelly Jean Betts | Nurse Practitioner | 1601 W. 27th St., Wncc Harms Building, Scottsbluff, NE 69361 | 2018-12-20 |
| 1952824716 | Ellen Otto | Nurse Practitioner | 3210 Ave B, Suite B Quick Care, Scottsbluff, NE 69361 | 2017-07-24 |
| 1518379593 | Suzanne Poynter | Counselor | 14 West 27th, Suite 26, Scottsbluff, NE 69361 | 2014-05-27 |
| 1770834970 | Gabrielle K Mickelson | Dental Hygienist | 204 W 36th St, Scottsbluff, NE 69361 | 2012-09-27 |
| 1225393390 | Brittany R Eirich | Internal Medicine | 3911 Ave B Ste #1100, Scottsbluff, NE 69361 | 2012-07-05 |
| 1548560584 | Western Plains Psychology P.C. | Psychologist | 3911 Ave B, Suite 3400, South Plaza, Scottsbluff, NE 69361 | 2010-10-25 |
| 1033340146 | Bluffs Health Care Clinic | Physician Assistant | 914 W 36th Str, Scottsbluff, NE 69361 | 2009-08-06 |
| 1598972994 | Panhandle Mental Health Center | Case Management | 410 South Beltline, Suite 3, Scottsbluff, NE 69361 | 2007-05-16 |
| 1821201294 | Kay C. Gamet | Social Worker | 4410 Ave D, Scottsbluff, NE 69361 | 2007-05-08 |
| Find all providers in zip 69361 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
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| 1760014070 | Hickman Rural Fire Protection District | Ambulance | 630 Chestnut St, Hickman, NE 68372-9764 | 2020-02-05 |
| 1689232209 | City of Aurora | Ambulance | 905 13th St, Aurora, NE 68818-2409 | 2019-05-29 |
| 1891254348 | Roseland Rural Fire District | Ambulance | 9300 S Meade Ave, Roseland, NE 68973-2500 | 2019-03-14 |
| 1457824294 | Village of Chester | Ambulance | 617 Thayer Ave, Chester, NE 68327 | 2019-01-04 |
| 1518447051 | Holstein Rural Fire Protection Dist | Ambulance | 9780 S. Holstein Ave, Holstein, NE 68950 | 2018-08-15 |
| 1124541677 | South Central Ems LLC | Ambulance | 156 S 8th St, Geneva, NE 68361 | 2017-07-17 |
| 1366983108 | Hallam Rural Fire Protection District | Ambulance | 4200 W Hallam Rd, Hallam, NE 68368-9998 | 2017-03-13 |
| 1962955187 | 9 Line Medical Solutions | Ambulance | 1129 W Court St, Beatrice, NE 68310-3537 | 2016-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
Please comment or provide details below to improve the information on EAGLEMED LLC.
| 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.