Air Evac EMS Inc.
Organization Active NPI Air Ambulance · Georgetown, OH
NPI 1194059451 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1194059451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC.
- Practice address
- 423 Home St
Georgetown, OH 45121-1407 - Phone
- (937) 378-3191
- Fax
- (937) 378-1541
- NPI assigned
- Sep 18, 2009
- 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
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 14
Corporate family (same tax ID) 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090203000378 | OH | Part B Supplier - Ambulance Service Supplier | 8123931755 |
7 other NPIs on this enrollment Practice locations: Georgetown, OH; St Louisville, OH; Portsmouth, OH; Lancaster, OH |
National Provider Directory
- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Locations
423 Home St
Georgetown, OH 45121
Phone (937) 378-3191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
423 Home St
Georgetown, OH 45121-1407
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
Other providers in Georgetown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.