NPIMap

Organization Active NPI

Air Evac EMS Inc.

  • Land Ambulance
  • Mineral Wells, TX
National Provider Identifier
1962489187
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
182008 Issued in TX
Legal business name
AIR EVAC EMS INC.
Practice address
322 SW 25TH Ave
Mineral Wells, TX 76067-8244
Phone
(940) 327-8702
Fax
(940) 327-8915
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
C Greg Wittenbrink
Title
VP of Finance
Phone
(417) 256-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 182008 TX Primary

Addresses

Primary practice location

322 SW 25TH Ave
Mineral Wells, TX 76067-8244

Mailing address

PO Box 106
West Plains, MO 65775-0106
Phone (417) 256-0010

Other identifiers 1

IdentifierTypeStateIssuer
P00101800OtherRAILROAD MEDICARE

Other names 1

  • INTERCARE MEDICAL TRANSPORT INC Other name

National Provider Directory

National Provider Directory
Tax ID family
Lifeteam Midwest Ae20162 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Ownership & related parties

Subparts reporting this organization as parent 31

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962489187",
    "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": "417-256-0010",
            "fax_number": "417-257-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SW 25TH AVE",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760678244",
            "telephone_number": "940-327-8702",
            "fax_number": "940-327-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIR EVAC EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITTENBRINK",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "417-256-0010"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "182008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00101800",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERCARE MEDICAL TRANSPORT INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mineral Wells, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.