Healthcare Provider Details

I. General information

NPI: 1649564931
Provider Name (Legal Business Name): GUARDIAN FLIGHT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2011
Last Update Date: 09/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 HILLTOP DRIVE SUITE 203
ROCK SPRINGS WY
82901
US

IV. Provider business mailing address

10888 S 300 W
SOUTH JORDAN UT
84095-4043
US

V. Phone/Fax

Practice location:
  • Phone: 801-619-4900
  • Fax: 801-619-8077
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number06-153
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ERIC THOMAS
Title or Position: SVP OF REVENUE MANAGEMENT
Credential:
Phone: 877-288-5340