Provider Demographics
NPI:1386648293
Name:LIFEFLIGHT EAGLE
Entity Type:Organization
Organization Name:LIFEFLIGHT EAGLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZALAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-283-9710
Mailing Address - Street 1:7830 NW 100TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-2323
Mailing Address - Country:US
Mailing Address - Phone:816-283-9710
Mailing Address - Fax:816-283-9730
Practice Address - Street 1:7830 NW 100TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-2323
Practice Address - Country:US
Practice Address - Phone:816-283-9710
Practice Address - Fax:816-283-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-08
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0952573416A0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
054560OtherFAMILY HEALTH PARTNERS
590013663OtherRAILROAD MEDICARE
KS100273460AMedicaid
MO23736011OtherBLUE CROSS BLUE SHIELD
FL912284200Medicaid
MO803768209Medicaid
11339OtherHEALTHCARE USA
KS795752OtherBLUE CROSS BLUE SHIELD