Active NPI
Air Evac EMS, Inc.
Doing business as Air Evac Lifeteam
- Air Ambulance
- Pauls Valley, OK
National Provider Identifier
1740944115
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
- 500 Airport Rd HNGR 10
Pauls Valley, OK 73075-9607 - Phone
- (877) 288-5340
- Fax
- (417) 257-5761
- NPI assigned
- Oct 22, 2021
- Last updated
- Jul 11, 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
- Senior Vice President Revenue Cycle
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
500 Airport Rd HNGR 10
Pauls Valley, OK 73075-9607
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other practice location 1
2881 NW Airport Rd
Idabel, OK 74745-2550
Phone (877) 288-5340
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| 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… |
Other NPIs on the same Medicare enrollment 19
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Air Evac Lifeteam
- Air Ambulance
- Pauls Valley, OK
- NPI 1225739055
O20040730001084
National Provider Directory
National Provider Directory- Part of
- Lifeteam Midwest Ae20
Locations
2881 NW Airport Rd
Idabel, OK 74745
Phone (580) 374-2194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1740944115",
"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",
"fax_number": "417-257-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AIRPORT RD HNGR 10",
"city": "PAULS VALLEY",
"state": "OK",
"postal_code": "730759607",
"telephone_number": "877-288-5340",
"fax_number": "417-257-5761"
}
],
"practiceLocations": [
{
"address_1": "2881 NW Airport Rd",
"address_purpose": "LOCATION",
"city": "Idabel",
"state": "OK",
"postal_code": "747452550",
"country_code": "US",
"telephone_number": "877-288-5340",
"fax_number": "417-257-5761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AIR EVAC EMS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS, INC.",
"enumeration_date": "2021-10-22",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT REVENUE CYCLE",
"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 Pauls Valley, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.