NPIMap

Organization Active NPI

Cal-Ore Life Flight LLC

  • Air Ambulance
  • West Plains, MO
National Provider Identifier
1801897939
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
9903-06 Issued in OR
Legal business name
CAL-ORE LIFE FLIGHT LLC
Practice address
1800 Air Medical Dr
West Plains, MO 65775
Phone
(877) 288-5340
Fax
(417) 257-5761
NPI assigned
Aug 10, 2005
Organization subpart
Yes
Parent organization
CAL-ORE LIFE FLIGHT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 9903-06 OR Primary
Land Ambulance 3416L0300X 9903-06 OR

Addresses

Primary practice location

1800 Air Medical Dr
West Plains, MO 65775

Mailing address

PO Box 930
West Plains, MO 65775-0930
Phone (877) 288-5340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050421001508 CA Part B Supplier - Ambulance Service Supplier 1355389099 2 other NPIs on this enrollment
Practice locations: Bishop, CA; Crescent City, CA; McKinleyville, CA; Weed, CA
O20081219000542 OR Part B Supplier - Ambulance Service Supplier 1355389099 5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Brookings, OR; Coos Bay, OR; Gold Beach, OR; Hillsboro, OR; Medford, OR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Cal Ore Life Flight LLC10 organizations share this tax ID, including this one
Part of
Cal Ore Life Flight LLC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1759 Dale Rupert Rd
Crescent City, CA 95531
Phone (707) 465-3804

22501 Airport Rd
Weed, CA 96094
Phone (530) 938-1532

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1801897939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 930",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750930",
            "telephone_number": "877-288-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 AIR MEDICAL DR",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "65775",
            "telephone_number": "877-288-5340",
            "fax_number": "417-257-5761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAL-ORE LIFE FLIGHT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAL-ORE LIFE FLIGHT LLC",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-09-26",
        "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": "OR",
            "license": "9903-06",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OR",
            "license": "9903-06",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.