Active NPI
Air Evac EMS Inc
Doing business as Air Evac Lifeteam
- Air Ambulance
- Ada, OK
National Provider Identifier
1386627883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- AIR EVAC EMS INC
- Doing business as
- Air Evac Lifeteam
- Practice address
- 231 John Herrington Ave
Ada, OK 74820 - Phone
- (580) 559-2593
- Fax
- (417) 257-5761
- NPI assigned
- Nov 29, 2005
- Last updated
- Aug 3, 2018
- Organization subpart
- Yes
- Parent organization
- AIR EVAC EMS INC
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
- SRVP 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
231 John Herrington Ave
Ada, OK 74820
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (417) 257-1585
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040730001084 | OK | Part B Supplier - Ambulance Service Supplier | 8123931755 |
19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodward, OK; Weatherford, OK; Seminole, OK; Ponca City, OK; Pauls Valley, OK; Muskogee, OK; Kingfisher, OK; Idabel, OK… |
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Air Evac Lifeteam
- Air Ambulance
- Pauls Valley, OK
- NPI 1225739055
O20040730001084
-
dba Air Evac Lifeteam
- Air Ambulance
- Weatherford, OK
- NPI 1265834600
O20040730001084
National Provider Directory
National Provider Directory- Tax ID family
- Air Evac EMS
- Part of
- Air Evac EMS
Organizations with this tax ID in the same state 18
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533254400000",
"number": "1386627883",
"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": "417-257-1585",
"fax_number": "417-257-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 JOHN HERRINGTON AVE",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-559-2593",
"fax_number": "417-257-5761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS INC",
"enumeration_date": "2005-11-29",
"last_updated": "2018-08-03",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SRVP 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"
}
]
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.