Air Evac EMS Inc.
Organization Active NPI Air Ambulance · Laredo, TX
NPI 1992018212 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1992018212
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- AIR EVAC EMS INC.
- Practice address
- 2010 E Hillside Rd Ste 2
Laredo, TX 78041-3823 - Phone
- (956) 568-5389
- Fax
- (956) 568-5378
- NPI assigned
- Jul 15, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- AIR EVAC EMS INC.
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 32
Corporate family (same tax ID) 12
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2066652 | Air-Evac EMS, Inc Ae 093 | Certificate of waiver | Sep 30, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| 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… |
National Provider Directory
- Tax ID family
- Lifeteam Midwest Ae20
- Part of
- Lifeteam Midwest Ae20
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
2010 E Hillside Rd Ste 2
Laredo, TX 78041-3823
Mailing address
PO Box 106
West Plains, MO 65775-0106
Phone (877) 288-5340
Other names
- Air Evac Lifeteam
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.