Provider Demographics
NPI:1477726644
Name:GUARDIAN FLIGHT INC
Entity Type:Organization
Organization Name:GUARDIAN FLIGHT INC
Other - Org Name:CANYON CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:STIRLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-457-1711
Mailing Address - Street 1:PO BOX 61030
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99706-1030
Mailing Address - Country:US
Mailing Address - Phone:907-457-1711
Mailing Address - Fax:907-457-1738
Practice Address - Street 1:MILE 238.8 PARKS HIGHWAY
Practice Address - Street 2:
Practice Address - City:DENALI
Practice Address - State:AK
Practice Address - Zip Code:99755
Practice Address - Country:US
Practice Address - Phone:907-683-4433
Practice Address - Fax:907-683-4434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK303444261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKK160959Medicare PIN