Active NPI
Air Evac EMS, Inc.
Doing business as Air Evac Lifeteam
- Air Ambulance
- Opelousas, LA
National Provider Identifier
1427435114
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
- 299 Hangar Rd HNGR B
Opelousas, LA 70570-0003 - Phone
- (877) 288-5340
- Fax
- (417) 257-5761
- NPI assigned
- May 1, 2015
- Last updated
- Apr 28, 2023
- 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
- SVP of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
299 Hangar Rd HNGR B
Opelousas, LA 70570-0003
Mailing address
PO Box 106
West Plains, MO 65775-0106
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110926000380 | LA | Part B Supplier - Ambulance Service Supplier | 8123931755 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Natchitoches, LA; Rayville, LA; Opelousas, LA; Kinder, LA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Air Evac Lifeteam
- Air Ambulance
- Natchitoches, LA
- NPI 1861059289
O20110926000380
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 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
299 Hangar Rd
Opelousas, LA 70570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682640000000",
"number": "1427435114",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 HANGAR RD HNGR B",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705700003",
"telephone_number": "877-288-5340",
"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": "2015-05-01",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"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 Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.