EAGLE AIR MED
NPI 1164949483
Ambulance - Air Transport in Kayenta, AZ

NPI Status: Active since August 28, 2017

Contact Information

KAYENTA MOBILE HOME PARK HWY 163 SPACE 288
KAYENTA, AZ
ZIP 86033
Phone: (801) 619-4900

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  • Organization
  • Ambulance
  • Air Transport
  • CLIA Number: 03D1026969
  • CLIA Cert. Type: Other - AIR AMBULANCE
  • CLIA Exp. Date: 06-17-2026

About EAGLE AIR MED

This page provides the complete NPI Profile along with additional information for Eagle Air Med, a provider established in Kayenta, Arizona operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1164949483 assigned on August 2017. The practitioner's primary taxonomy code is 3416A0800X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Eagle Air Med. The authorized official of this NPI record is Eric Thomas (Svp Of Revenue Management)

NPI
1164949483
Provider Legal Name
GUARDIAN FLIGHT LLC
Other Organization Name
EAGLE AIR MED
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
KAYENTA MOBILE HOME PARK HWY 163 SPACE 288 KAYENTA, AZ 86033
Location Phone
(801) 619-4900
Mailing Address
PO BOX 199 WEST PLAINS, MO 65775
Mailing Phone
(801) 619-4900
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-28-2017
Last Update Date
02-28-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Air Transport

Taxonomy Code
3416A0800X
Type
Transportation Services

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC THOMAS

Authorized Official Title
SVP OF REVENUE MANAGEMENT
Authorized Official Phone
(877) 288-5340

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, conventional air services, transport, one way (fixed wing)

An ambulance service, specifically a fixed-wing air service, is a specialized method of patient transport. It uses an aircraft, rather than a ground vehicle, to quickly and safely move patients over long distances or inaccessible areas to a medical facility.

This service was performed 72 times for 67 patients

Fixed wing air mileage, per statute mile

Fixed wing air mileage, per statute mile, is a term used in medical transportation. It refers to the distance covered by a fixed wing aircraft, like an airplane, during medical evacuation or transport. The cost of this service is often calculated on a per-mile basis.

This service was performed 15,489 times for 67 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D1026969
Facility Type
Other - AIR AMBULANCE
Certificate Effective Date
June 18, 2024
Certificate Expiration Date
June 17, 2026
Laboratory Director
JASON R. JOHNSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eagle Air Med to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164949483, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
4
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 9 → 18 → 9 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 8 + 4 + 1 + 8 + 4 + 1 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1164949483.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164949483, enumerated as an "organization" on August 28, 2017.

The provider is located at KAYENTA MOBILE HOME PARK HWY 163 SPACE 288 KAYENTA, AZ 86033 and the phone number is (801) 619-4900.

Ambulance with taxonomy code 3416A0800X and a focus in Air Transport.