Active NPI
Air Evac EMS Inc.
- Air Ambulance
- Greenville, MS
National Provider Identifier
1124257670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- AIR EVAC EMS INC.
- Practice address
- 1609 Hospital St
Greenville, MS 38703-3222 - Phone
- (662) 335-3034
- Fax
- (662) 335-3036
- NPI assigned
- Jul 6, 2009
- Organization subpart
- Yes
- Parent organization
- AIR EVAC EMS INC.
Authorized official
NPPES NPI Registry- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
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 |
|---|---|---|---|
| 25D1103124 | Air Evac EMS #87 | Certificate of waiver | Aug 2, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050719000382 | MS | Part B Supplier - Ambulance Service Supplier | 8123931755 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Batesville, MS; Corinth, MS; Greenville, MS; Natchez, MS |
National Provider Directory
National Provider Directory- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Air Ambulance
- Corinth, MS
- NPI 1366425282
-
- Air Ambulance
- Natchez, MS
- NPI 1598056046
-
- Air Ambulance
- Batesville, MS
- NPI 1699734905
Locations
1609 Hospital St
Greenville, MS 38703
Phone (662) 335-3034
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1609 Hospital St
Greenville, MS 38703-3222
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names 1
NPPES NPI Registry- Air Evac Lifeteam
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 26, 2018.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537920000000",
"number": "1124257670",
"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": "1609 HOSPITAL ST",
"city": "GREENVILLE",
"state": "MS",
"postal_code": "387033222",
"telephone_number": "662-335-3034",
"fax_number": "662-335-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS INC.",
"enumeration_date": "2009-07-06",
"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": 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 Greenville, MS
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.
- 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.