Provider Demographics
NPI:1770002768
Name:GUARDIAN FLIGHT LLC
Entity Type:Organization
Organization Name:GUARDIAN FLIGHT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-257-1585
Mailing Address - Street 1:PO BOX 199
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-0199
Mailing Address - Country:US
Mailing Address - Phone:801-619-4900
Mailing Address - Fax:
Practice Address - Street 1:324 N DIVISION ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:WY
Practice Address - Zip Code:82435-2208
Practice Address - Country:US
Practice Address - Phone:801-619-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUARDIAN FLIGHT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-12
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport