Provider Demographics
NPI:1083910335
Name:AIR EVAC EMS INC.
Entity Type:Organization
Organization Name:AIR EVAC EMS INC.
Other - Org Name:AIR EVAC LIFETEAM
Other - Org Type:Doing Business As
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:888-807-9189
Mailing Address - Street 1:PO BOX 106
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-0106
Mailing Address - Country:US
Mailing Address - Phone:877-288-5340
Mailing Address - Fax:
Practice Address - Street 1:1118 UNION STREET
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-0000
Practice Address - Country:US
Practice Address - Phone:877-288-5340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AIR EVAC EMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-02-03
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AEL-097 PORTSMOUTHOtherBASE ID