Active NPI
Air Evac EMS Inc.
Doing business as Air Evac Lifeteam
- Air Ambulance
- Elmore, AL
National Provider Identifier
1750498341
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
- 1155 Al Hwy 14
Elmore, AL 36025 - Phone
- (334) 285-2064
- Fax
- (334) 285-4187
- NPI assigned
- Aug 23, 2006
- Last updated
- Aug 3, 2018
- 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
- SRVP of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
1155 Al Hwy 14
Elmore, AL 36025
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (417) 257-1585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AEL-064 ELMORE | Other | BASE ID |
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040917000142 | AL | Part B Supplier - Ambulance Service Supplier | 8123931755 |
6 other NPIs on this enrollment Practice locations: Scottsboro, AL; Tanner, AL; Tuscumbia, AL; Vinemont, AL; Fayette, AL |
Other NPIs with the same Medicare PAC ID 14
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Air Evac EMS
Locations
1155 AL Highway 14
Elmore, AL 36025
Phone (334) 285-2064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533254400000",
"number": "1750498341",
"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": "417-257-1585",
"fax_number": "417-257-5761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 AL HWY 14",
"city": "ELMORE",
"state": "AL",
"postal_code": "36025",
"telephone_number": "334-285-2064",
"fax_number": "334-285-4187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS INC",
"enumeration_date": "2006-08-23",
"last_updated": "2018-08-03",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SRVP 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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BASE ID",
"identifier": "AEL-064 ELMORE",
"state": null
}
],
"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 Elmore, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.