Active NPI
Airmed Response LLC
- Air Ambulance
- San Antonio, TX
National Provider Identifier
1104319599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- AIRMED RESPONSE LLC
- Practice address
- 10440 John Cape Rd Ste 206
San Antonio, TX 78216-4101 - Phone
- (210) 293-2288
- NPI assigned
- Jun 11, 2018
- Last updated
- Oct 1, 2020
- Organization subpart
- Yes
- Parent organization
- AIRMED RESPONSE LLC
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
10440 John Cape Rd Ste 206
San Antonio, TX 78216-4101
Mailing address
PO Box 913
West Plains, MO 65775-0913
Phone (877) 288-5340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190401001782 | TX | Part B Supplier - Ambulance Service Supplier | 5597015974 | Practice locations: San Antonio, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2172135 | Airmed Response LLC | Certificate of waiver | Sep 15, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Airmed Response LLC
- Part of
- Airmed Response LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Air Ambulance
- West Plains, MO
- NPI 1225508039
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
10440 John Cape Rd
Ste 206
San Antonio, TX 78216
Phone (210) 293-2288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601510400000",
"number": "1104319599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 913",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657750913",
"telephone_number": "877-288-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 JOHN CAPE RD STE 206",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164101",
"telephone_number": "210-293-2288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIRMED RESPONSE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIRMED RESPONSE LLC",
"enumeration_date": "2018-06-11",
"last_updated": "2020-10-01",
"certification_date": "2020-10-01",
"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": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.