Air Evac EMS Inc
Organization Active NPI Air Ambulance · Mountain Home, AR
NPI 1699758409 · NPPES record last updated Dec 26, 2018
Key facts
- NPI
- 1699758409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC
- Practice address
- 549 Hospital Dr
Mountain Home, AR 72653-2912 - Phone
- (877) 288-5340
- Fax
- (417) 257-5761
- NPI assigned
- Nov 25, 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 11
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040126000228 | AR | Part B Supplier - Ambulance Service Supplier | 8123931755 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: De Queen, AR; Springdale, AR; Mountain Home, AR; Harrison, AR; Forrest City, AR; Fort Smith, AR; Clarksville, AR; Blytheville, AR |
National Provider Directory
- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
549 Hospital Dr
Mountain Home, AR 72653-2912
Mailing address
PO Box 106
West Plains, MO 65775-0106
Other names
- Air Evac Lifeteam
Other providers in Mountain Home, AR
- Advanced Medicine of the Ozarks, LTD
- Advanced Respiratory Supplies, Inc.
- Advanced Respiratory Supplies, Inc.
- John T. Ahrens
- Natalie D Ahrent
- Deborah Alberts
- Jamie Lee Aldakkour
- Tamatha Alden
- Janet Alvarez Alexander
- Lane Ray Alexander
All providers in Mountain Home, AR · Air Ambulance in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 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.