Air Evac EMS Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

AIR EVAC EMS INC

Doing business as

Air Evac Lifeteam

Practice address

2 E Benjamin Dr
New Martinsville, WV 26155

Phone

(304) 277-2427

Fax

(304) 277-2429

NPI assigned

Aug 29, 2008

Last updated

Sep 26, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

AIR EVAC EMS INCAs reported in NPPES

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

Addresses

Other names 1

• Air Evac Lifeteam Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Air Evac EMS Inc.

  dba Air Evac Lifeteam

  • Air Ambulance
  • Logan, WV
  • NPI 1093959587

  O20090112000408

  Same enrollment
• Air Evac EMS, Inc.

  dba Air Evac Lifeteam

  • Air Ambulance
  • Mount Nebo, WV
  • NPI 1417235896

  O20090112000408

  Same enrollment
• Air Evac EMS, Inc.

  dba Air Evac Lifeteam

  • Air Ambulance
  • Mount Hope, WV
  • NPI 1710385315

  O20090112000408

  Same enrollment
• Air Evac EMS Inc

  dba Air Evac Lifeteam

  • Air Ambulance
  • Martins Ferry, OH
  • NPI 1053566349

  O20090112000408

  Same enrollment

Part of

Air Evac EMS

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1194973347",
    "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": "2 E BENJAMIN DR",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "26155",
            "telephone_number": "304-277-2427",
            "fax_number": "304-277-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR EVAC EMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR EVAC EMS INC",
        "enumeration_date": "2008-08-29",
        "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"
        }
    ]
}

• Lisa Dawn Adams Booth
• Tosha Marie Adams
• Clara J Adkins
• Mackenzie Diane Allen I
• Anissa Monseau Anderson, DDS, MS
• Reba Anderson, LPN
• Sandra Kay Anderson
• Mary Rose Ash

• Air Ambulance in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Air Ambulance in West Virginia

• 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.

Verify at the official NPI Registry.