Air Evac EMS Inc
Organization Active NPI Air Ambulance · Woodward, OK
NPI 1497963110 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1497963110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC
- Practice address
- 1620 Santa Fe St
Woodward, OK 73801 - Phone
- (580) 256-2208
- Fax
- (580) 256-2314
- NPI assigned
- May 18, 2007
- 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 19
Corporate family (same tax ID) 18
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| 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… |
National Provider Directory
- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Locations
1620 Santa Fe St
Woodward, OK 73801
Phone (580) 256-2208
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
1620 Santa Fe St
Woodward, OK 73801
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
Other providers in Woodward, OK
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.