BALLARD AVIATION INC (NPI# 1790787430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790787430 |
| Entity Type | Organization |
| Organization Name | BALLARD AVIATION INC |
| Other Organization Name | EAGLEMED |
| Practice Address |
6601 Pueblo Dr Wichita KS 67209-2926 |
| Practice Telephone | 8007643343 |
| Practice Fax Number | 3166134801 |
| Mailing Telephone | 8007643343 |
| Mailing Fax Number | 3166134801 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. DAWN ZON (DIRECTOR OF ADMINISTRATION) |
| Authorized Official Telephone | 8007643343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
930 | KS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 96001920 | 05 |
| Other Name | Type Code |
|---|---|
| EAGLEMED | Doing Business As Name - Organization |
| Street Address |
6601 PUEBLO DR |
| City | WICHITA |
| State | KS |
| Zip Code | 67209-2926 |
| 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 |
|---|---|---|---|---|
| 1184857955 | Eaglemed LLC | Ambulance | 6601 W Pueblo Dr, Wichita, KS 67209-2926 | 2009-08-27 |
| 1700055340 | Airmd, LLC | Ambulance | 3445 N Webb Rd, Wichita, KS 67226-8125 | 2008-02-28 |
| 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.