EAGLEMED 11 WICHITA RW
NPI 1184857955
Ambulance - Air Transport in Wichita, KS

Q: What is Eaglemed LLC's NPI number?

The NPI number for Eaglemed LLC is 1184857955. It was assigned to this organization in the NPPES registry on August 27, 2009. The provider is also known as Eaglemed 11 Wichita Rw.

Q: What is Eaglemed LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Q: When was this NPI record last updated?

The NPPES record for Eaglemed LLC was last updated on September 27, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2009CLIA Certified · 2 labs

6601 W PUEBLO DR, WICHITA, KS 67209(877) 288-5340 Get Directions Write a Review

NPPES record last updated: September 27, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Eaglemed 11 Wichita Rw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLEMED 11 WICHITA RW (NPI 1184857955) is a healthcare organization registered as an air transport in Wichita, Kansas and active in the NPI registry since August 2009. The organization holds 2 active CLIA laboratory certificates and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1184857955

Entity TypeOrganization

Primary Taxonomy3416A0800X

Legal Business NameEAGLEMED LLC

Location Address6601 W PUEBLO DRWichita, KS 67209-2926

Mailing AddressPo Box 108West Plains, MO 65775-0108 · (877) 288-5340

Phone(877) 288-5340

Organization SubpartYes

Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340

Enumeration DateAugust 27, 2009

Last NPPES UpdateSeptember 27, 2018

✔ NPI 1184857955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services

Taxonomy Code3416A0800X

6601 W PUEBLO DR, Wichita, KS 67209

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Other Names 1

Other NameEaglemed 11 Wichita Rw

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2072303

Eaglemed · Wichita, KS

Active · expires Jan 27, 2028

CLIA Number17D2072303

Laboratory TypeAmbulance

Certificate Effective DateJanuary 28, 2026

Certificate Expiration DateJanuary 27, 2028

Laboratory DirectorCraig Isom

Laboratory Phone(316) 613-4879

Laboratory LocationEaglemed6601 West Pueblo Drive, Wichita, KS 67209

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 17D2247264

Eaglemed Ground - Wichita/Winfield · Wichita, KS

Active · expires Jan 4, 2028

CLIA Number17D2247264

Laboratory TypeAmbulance

Certificate Effective DateJanuary 5, 2026

Certificate Expiration DateJanuary 4, 2028

Laboratory DirectorCraig M. Isom

Laboratory Phone(316) 239-5238

Laboratory LocationEaglemed Ground - Wichita/Winfield6601 W Pueblo Dr, Wichita, KS 67209

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MED-TRANS CORPORATION

Ambulance (Land Transport)