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Active NPI 1750774535 Organization (Entity Type 2) Subpart Facility

Eaglemed, Llc

Ambulance - Air Transport • Guymon, OK

Parent Organization: Eaglemed, Llc

About Eaglemed, Llc NPI 1750774535 Summary

Eaglemed, Llc is a verified healthcare organization specializing in Ambulance - Air Transport operating in Guymon, OK. Located at 712 NE 14TH ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1750774535.

Eaglemed, Llc operates as a subpart facility of Eaglemed, Llc. Administrative operations and authorized compliance are overseen by Eric Thomas (Svp Of Revenue Management).

Facility Location & Contact Primary Location

Facility Address

712 Ne 14th St

Guymon, OK 739423366

Telephone 8772885340

Authorized Official Information

Authorized Contact Name

Eric Thomas

Title / Role

Svp Of Revenue Management

Official Telephone

8772885340

Facility Classifications & Specialties

Ambulance - Air Transport Primary Taxonomy

NUCC Taxonomy Code: 3416A0800X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active March 18, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 18, 2015

Registered at 712 NE 14TH ST, GUYMON, OK 739423366 (Tel: 4172571585)

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Updated Business Mailing Address March 18, 2015

Registered at PO BOX 108, WEST PLAINS, MO 657750108 (Tel: 4172571585)

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Organization / Clinic Name Updated March 18, 2015

Operating as EAGLEMED, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2015

Ambulance

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Initial NPI Registration & Enumeration March 18, 2015

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1750774535
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: March 18, 2015
Last Update: September 27, 2018

Mailing Address

Po Box 108

West Plains, MO 657750108

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.