EAGLE HEALTH SERVICES LLC – NPI #1114731882
Clinic/Center

EAGLE HEALTH SERVICES LLC is an AHC clinic located in MERIDIAN, ID. NPPES has assigned the NPI number 1114731882 to EAGLE HEALTH SERVICES LLC on February 04, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAGLE HEALTH SERVICES LLC below.

NPI Profile for
EAGLE HEALTH SERVICES LLC

NPI Number
1114731882
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAGLE HEALTH SERVICES LLC
Primary location
1351 W PINE AVE STE B
MERIDIAN, ID 83642-2010
Phone: (385) 420-7500 Fax:
Mailing address
1213 FLINT MEADOW DR STE 1C
KAYSVILLE, UT 84037-6833
Phone: Fax:
Organization Subpart
No
Authorized Official
TANGINA MALOOF
TREASURER
Phone: (469) 636-5055
Updated
Certification Date
Feb 04, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.