NPIMap

Organization Active NPI

Air Evac EMS Inc

Doing business as Air Evac Lifeteam

  • Air Ambulance
  • Danville, KY
National Provider Identifier
1386628840
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
AIR EVAC EMS INC
Doing business as
Air Evac Lifeteam
Practice address
418 Airport Road
Danville, KY 40422
Phone
(859) 854-0081
Fax
(859) 854-0083
NPI assigned
Nov 30, 2005
Last updated
Sep 26, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
AIR EVAC EMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X Primary

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 1

  • Air Evac Lifeteam Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…

Other NPIs on the same Medicare enrollment 51

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

View all 51

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1087823Air Evac EMS Inc Dba Air Evac 56 Danville418 Airport Road, Danville, KY 40422Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory
Part of
Lifeteam Midwest Ae20

Locations

418 Airport Rd
Danville, KY 40422
Phone (859) 854-0081

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1386628840",
    "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": "418 AIRPORT ROAD",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-854-0081",
            "fax_number": "859-854-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR EVAC EMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR EVAC EMS INC",
        "enumeration_date": "2005-11-30",
        "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 Danville, KY

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.

Verify at the official NPI Registry.