Active NPI
Air Evac EMS Inc.
Doing business as Air Evac Lifeteam
- Air Ambulance
- Ennis, TX
National Provider Identifier
1851591390
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
- 3004 W Ennis Ave
Ennis, TX 75119 - Phone
- (972) 875-8724
- NPI assigned
- Jul 23, 2007
- 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 | NU | Primary |
Addresses
Primary practice location
3004 W Ennis Ave
Ennis, TX 75119
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (417) 257-1585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AEL-074 ENNIS | Other | BASE ID |
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019001308 | TX | Part B Supplier - Ambulance Service Supplier | 8123931755 |
32 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: McAllen, TX; Hillsboro, TX; Jasper, TX; Jourdanton, TX; Kerrville, TX; Killeen, TX; Lagrange, TX; Laredo, TX… |
Other NPIs on the same Medicare enrollment 32
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Air Evac Lifeteam
- Air Ambulance
- Marble Falls, TX
- NPI 1003899824
O20041019001308
-
dba Air Evac Lifeteam
- Air Ambulance
- Wichita Falls, TX
- NPI 1699758417
O20041019001308
-
dba Air Evac Lifeteam
- Air Ambulance
- Mineral Wells, TX
- NPI 1891778627
O20041019001308
National Provider Directory
National Provider Directory- Part of
- Air Evac EMS
Locations
3004 W Ennis Ave
Ennis, TX 75119
Phone (972) 875-8724
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Land Ambulance
- Mineral Wells, TX
- NPI 1962489187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533254400000",
"number": "1851591390",
"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": "3004 W ENNIS AVE",
"city": "ENNIS",
"state": "TX",
"postal_code": "75119",
"telephone_number": "972-875-8724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS INC.",
"enumeration_date": "2007-07-23",
"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": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BASE ID",
"identifier": "AEL-074 ENNIS",
"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 Ennis, TX
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.