Active NPI
Air Evac EMS Inc
Doing business as Air Evac Lifeteam
- Air Ambulance
- Paoli, IN
National Provider Identifier
1013990191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- AIR EVAC EMS INC
- Doing business as
- Air Evac Lifeteam
- Practice address
- 690 W Hospital Rd
Paoli, IN 47454 - Phone
- (812) 723-0157
- Fax
- (812) 723-5872
- NPI assigned
- Nov 22, 2005
- Last updated
- Sep 26, 2018
- Organization subpart
- Yes
- Parent organization
- AIR EVAC EMS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | NU | Primary |
Addresses
Primary practice location
690 W Hospital Rd
Paoli, IN 47454
Mailing address
PO Box 106
West Plains, MO 65775-0106
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040831001139 | IN | Part B Supplier - Ambulance Service Supplier | 8123931755 |
6 other NPIs on this enrollment Practice locations: Knox, IN; Wabash, IN; Portland, IN; Paoli, IN; Brazil, IN; Evansville, IN |
Other NPIs with the same Medicare PAC ID 14
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Air Evac Lifeteam
- Air Ambulance
- Williamstown, KY
- NPI 1215121272
O20040831001139
National Provider Directory
National Provider Directory- Tax ID family
- Air Evac EMS
- Part of
- Air Evac EMS
Organizations with this tax ID in the same state 5
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Air Ambulance
- Knox, IN
- NPI 1487286423
-
- Air Ambulance
- Wabash, IN
- NPI 1598398257
-
- Air Ambulance
- Portland, IN
- NPI 1801428362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537920000000",
"number": "1013990191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 106",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657750106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 W HOSPITAL RD",
"city": "PAOLI",
"state": "IN",
"postal_code": "47454",
"telephone_number": "812-723-0157",
"fax_number": "812-723-5872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS INC",
"enumeration_date": "2005-11-22",
"last_updated": "2018-09-26",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
"authorized_official_telephone_number": "877-288-5340"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Air Evac Lifeteam",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Air Evac Lifeteam",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Paoli, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.