GUARDIAN FLIGHT LLC (NPI# 1982121216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982121216 |
| Entity Type | Organization |
| Organization Name | GUARDIAN FLIGHT LLC |
| Other Organization Name | GALLUP MED FLIGHT |
| Practice Address |
3234 Indian Route 12 Navajo NM 87328 |
| Mailing Address |
Po Box 199 West Plains MO 65775-0199 |
| Practice Telephone | 8016194900 |
| Mailing Telephone | 8016194900 |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | GUARDIAN FLIGHT LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Gallup Med Flight | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649803099 | Guardian Flight LLC | Ambulance | 145 Granite Point Ct, Kenai, AK 99611 | 2020-02-13 |
| 1649814724 | Guardian Flight LLC | Ambulance | 3474 Old Intl Airport Rd Ste A, Anchorage, AK 99502-1003 | 2019-11-01 |
| 1700433786 | Guardian Flight LLC | Ambulance | 1140 W Navajo St, Farmington, NM 87401-5404 | 2019-08-23 |
| 1588123673 | Guardian Flight LLC | Ambulance | 905 W Airport Rd, Springerville, AZ 85938-5015 | 2019-03-18 |
| 1043779135 | Guardian Flight LLC | Ambulance | 4500 E Aviation Way, Safford, AZ 85546-9479 | 2019-03-18 |
| 1982177010 | Guardian Flight LLC | Ambulance | 8001 Interport Blvd Ste 150, Englewood, CO 80112-6094 | 2019-01-11 |
| 1184105603 | Guardian Flight LLC | Ambulance | 655 S Rock Blvd, Reno, NV 89502-4118 | 2018-08-23 |
| 1659850832 | Guardian Flight LLC | Ambulance | 212 West Freedom Way, Blanding, UT 84511 | 2018-08-09 |
| 1912486275 | Guardian Flight LLC | Ambulance | 3151 E Airport Loop Ste 1, Show Low, AZ 85901-9583 | 2018-08-08 |
| 1821502345 | Guardian Flight LLC | Ambulance | 107 C Street, Dubois, WY 82513-0000 | 2017-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GUARDIAN FLIGHT LLC | 10888 S 300 W, South Jordan, UT 84095-4043 |
| Colorado Business Entities | Guardian Flight LLC | 10888 S 300 West, South Jordan, UT 84095 |
| Washington State Corporations | GUARDIAN FLIGHT LLC | 10888 S 300 W, South Jordan, UT 84095 |
| Street Address |
3234 INDIAN ROUTE 12 |
| City | NAVAJO |
| State | NM |
| Zip Code | 87328 |
| 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 |
|---|---|---|---|---|
| 1194338707 | Rocky Mountain Holdings, LLC | Ambulance | 1313 E 32nd St # A, Silver City, NM 88061-7251 | 2020-08-25 |
| 1164042883 | Rocky Mountain Holdings, LLC | Ambulance | 415 E Washington Ave, # 10, Tucumcari, NM 88401-3812 | 2020-04-22 |
| 1700433786 | Guardian Flight LLC | Ambulance | 1140 W Navajo St, Farmington, NM 87401-5404 | 2019-08-23 |
| 1669037792 | Rocky Mountain Holdings, LLC | Ambulance | 4801 Beckner Rd., Room 3517, Santa Fe, NM 87507-3641 | 2019-05-03 |
| 1841717162 | Guardian Flight LLC | Ambulance | 205 Crestwood Ct, Gallup, NM 87301-7121 | 2017-08-28 |
| 1528585858 | Guardian Flight LLC | Ambulance | 217 Crestwood Ct, Gallup, NM 87301-7121 | 2017-08-28 |
| 1356868517 | Guardian Flight LLC | Ambulance | 2111 W Highway 66, Temp 1 Space Addition, Gallup, NM 87301-6891 | 2017-08-28 |
| 1235656562 | Guardian Flight LLC | Ambulance | 2111 W Historic Hwy 66 Hanger 2, Gallup, NM 87301-6899 | 2017-08-28 |
| 1639696180 | Guardian Flight LLC | Ambulance | 215 Crestwood Ct, Gallup, NM 87301-7121 | 2017-08-25 |
| 1477073823 | Rocky Mountain Holdings Ll C | Ambulance | 2865 Raymond J. Reed Blvd Se, Deming, NM 88030 | 2017-06-26 |
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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.