Air Evac EMS Inc
Organization Active NPI Air Ambulance · Danville, KY
NPI 1386628840 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1386628840
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC
- Practice address
- 418 Airport Road
Danville, KY 40422 - Phone
- (859) 854-0081
- Fax
- (859) 854-0083
- NPI assigned
- Nov 30, 2005
- 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 51
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1087823 | Air Evac EMS Inc Dba Air Evac 56 Danville | Certificate of waiver | Aug 11, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031110000686 | KY | Part B Supplier - Ambulance Service Supplier | 8123931755 |
19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: London, KY; Manchester, KY; Marion, KY; Mayfield, KY; Middlesboro, KY; Paducah, KY; Prestonsburg, KY; Campbellsville, KY… |
| O20041019001308 | TX | Part B Supplier - Ambulance Service Supplier | 8123931755 |
32 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McAllen, TX; Hillsboro, TX; Jasper, TX; Jourdanton, TX; Kerrville, TX; Killeen, TX; Lagrange, TX; Laredo, TX… |
National Provider Directory
- Part of
- Lifeteam Midwest Ae20
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
418 Airport Road
Danville, KY 40422
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
Other providers in Danville, KY
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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.