Active NPI
Air Evac EMS, Inc.
Doing business as Air Evac Lifeteam
- Air Ambulance
- Natchitoches, LA
National Provider Identifier
1861059289
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
- 306 Wallenburg Dr
Natchitoches, LA 71457-3680 - Phone
- (877) 288-5340
- Fax
- (417) 257-5761
- NPI assigned
- May 21, 2019
- Last updated
- Nov 5, 2020
- 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
- SVP 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
306 Wallenburg Dr
Natchitoches, LA 71457-3680
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names 1
- Air Evac Lifeteam
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110926000380 | LA | Part B Supplier - Ambulance Service Supplier | 8123931755 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Natchitoches, LA; Rayville, LA; Opelousas, LA; Kinder, LA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2166570 | Air Evac Lifeteam 160-Winnfield | Certificate of waiver | May 20, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Air Evac EMS
- Part of
- Air Evac EMS
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1861059289",
"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": "306 WALLENBURG DR",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714573680",
"telephone_number": "877-288-5340",
"fax_number": "417-257-5761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIR EVAC EMS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AIR EVAC EMS, INC.",
"enumeration_date": "2019-05-21",
"last_updated": "2020-11-05",
"certification_date": "2020-11-04",
"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": "NU",
"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 Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.