Air Evac EMS Inc
Organization Active NPI Air Ambulance · Big Spring, TX
NPI 1083697809 · NPPES record last updated Jan 11, 2023
Key facts
- NPI
- 1083697809
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC
- Practice address
- 1601 W 11TH PL Ste B
Big Spring, TX 79720-4114 - Phone
- (877) 288-5340
- NPI assigned
- Nov 25, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- AIR EVAC EMS INC.
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 32
Corporate family (same tax ID) 17
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1087673 | Air Evac 54 Air Evac EMS Inc | Certificate of waiver | Aug 7, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019001308 | TX | Part B Supplier - Ambulance Service Supplier | 8123931755 |
32 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McAllen, TX; Hillsboro, TX; Jasper, TX; Jourdanton, TX; Kerrville, TX; Killeen, TX; Lagrange, TX; Laredo, TX… |
National Provider Directory
- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
1601 W 11TH PL Ste B
Big Spring, TX 79720-4114
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
NPI Registry JSON
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1083697809",
"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",
"telephone_number": "877-288-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 W 11TH PL STE B",
"city": "BIG SPRING",
"state": "TX",
"postal_code": "797204114",
"telephone_number": "877-288-5340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS INC.",
"enumeration_date": "2005-11-25",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"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": null,
"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 Big Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.