Provider Demographics
NPI:1134169535
Name:REACH AIR MEDICAL SERVICES LLC
Entity type:Organization
Organization Name:REACH AIR MEDICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
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:877-288-5340
Mailing Address - Street 1:PO BOX 930
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-0930
Mailing Address - Country:US
Mailing Address - Phone:877-288-5340
Mailing Address - Fax:
Practice Address - Street 1:1050 N EASTERN AVE # B
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-1720
Practice Address - Country:US
Practice Address - Phone:877-288-5340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ17638ZMedicare ID - Type UnspecifiedR5 MCARE
CAZZZ38967ZMedicare ID - Type UnspecifiedR2 MCARE
IL=========001Medicaid
ORR134750Medicare PIN
CAZZZ25948ZMedicare ID - Type UnspecifiedR1 & 6 MCARE
CAMTA01219FMedicaid
OR005867Medicaid
CAMTA00716FMedicaid
CA590005204Medicare PIN
CA590013359Medicare PIN
CAZZZ14463ZMedicare ID - Type UnspecifiedR3 MCARE
AZ419566Medicaid
CAMTA01178FMedicaid
CAZZZ01639ZMedicare ID - Type UnspecifiedR7 MCARE
CAMTA01032FMedicaid
CA590011887Medicare PIN
NE003288088Medicaid
WA9033093Medicaid
CAMTA00550FMedicaid
CAMTA00987FMedicaid