AIR EVAC EMS INC (NPI# 1003899501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003899501 |
Entity Type | Organization |
Organization Name | AIR EVAC EMS INC |
Other Organization Name | AIR EVAC LIFETEAM |
Practice Address |
160 Interstate 45 S Fairfield TX 75840 |
Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
Practice Telephone | 9033897266 |
Mailing Telephone | 8772885340 |
Enumeration Date | 2005-11-29 |
Last Update Date | 2018-09-26 |
Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
Authorized Official Telephone | 8772885340 |
Is Organization Subpart | Y |
Parent Organization Name | AIR EVAC EMS INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
Other Name | Type Code |
---|---|
Air Evac Lifeteam | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609131051 | Air Evac Ems Inc | Ambulance | 1619 S Locust Ave, Lawrenceburg, TN 38464-0000 | 2012-07-11 |
1265795728 | Air Evac Ems Inc | Ambulance | 200 Old Timers Road, Manchester, KY 40962-7507 | 2012-06-20 |
1598021644 | Air Evac Ems Inc | Ambulance | 1113 Medical Center Drive, Mayfield, KY 42066-1194 | 2012-04-03 |
1972877538 | Air Evac Ems Inc | Ambulance | 550 Firehouse Drive, St Louisville, OH 43071-0000 | 2012-02-29 |
1578835153 | Air Evac Ems Inc | Ambulance | 1020 S Cedar Ave, Demopolis, AL 36732-3308 | 2012-01-30 |
1558646547 | Air Evac Ems Inc | Ambulance | 1716 South 5th Street, Mcallen, TX 78503-0000 | 2011-10-21 |
1295029296 | Air Evac Ems Inc | Ambulance | 2929 Lancaster Thornville Road Ne, Lancaster, OH 43130-8547 | 2011-06-07 |
1679867261 | Air Evac Ems Inc | Ambulance | 266 Highway 3048, Rayville, LA 71269-3624 | 2011-06-01 |
1598056046 | Air Evac Ems Inc | Ambulance | 10 Roux 61 Drive, Natchez, MS 39120 | 2011-05-02 |
1447569009 | Air Evac Ems Inc | Ambulance | 16722 Highway 67, Statesboro, GA 30458-2452 | 2010-09-30 |
Street Address |
160 INTERSTATE 45 S |
City | FAIRFIELD |
State | TX |
Zip Code | 75840 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811508724 | Caitlin Nicole Sieck | Physical Therapist | 375 A West Hwy 84, Fairfield, TX 75840 | 2020-08-13 |
1841816014 | Katie Randall | Licensed Practical Nurse | 115 Pr 1295, Fairfield, TX 75840 | 2020-06-23 |
1063574671 | Rural Rehab Providers, LLC | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2006-12-14 |
1598854572 | Erin Maggard | Specialist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
1003916453 | Brookshire Brothers Inc | Pharmacy | 300 West Hwy 84, Fairfield, TX 75840 | 2006-09-25 |
1316423452 | Tonya N Basque | Nurse Practitioner | 734 W Commerce St, Fairfield, TX 75840 | 2018-07-12 |
1952681256 | Suzanne Castles | Physical Therapist | 375-a West Hwy 84, Fairfield, TX 75840 | 2011-08-18 |
1245476282 | Jack D Runyan | Physician Assistant | 734 W Commerce St, Fairfield, TX 75840 | 2008-12-22 |
1407945488 | Lisa Lott | Nurse Practitioner | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
1972692952 | David Lott | Physical Therapist | 375a W Hwy 84, Fairfield, TX 75840 | 2006-10-11 |
Find all providers in zip 75840 |
Taxonomy Code | 3416A0800X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Air Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861004079 | American International Transport LLC | Ambulance | 721 Dallas Ave., Mcallen, TX 78501 | 2020-08-19 |
1225663297 | Rocky Mountain Holdings, LLC | Ambulance | 1815 Airport Loop, Kerrville, TX 78028-9696 | 2020-03-10 |
1558923177 | Med-trans Corporation | Ambulance | 8926 Hangar Rd, San Angelo, TX 76904-4071 | 2019-07-03 |
1316507510 | 24-7 Air Evac, Inc. | Ambulance | 550 Reserve St Ste 190, Southlake, TX 76092-1575 | 2019-06-19 |
1013400126 | Air Evac Ems, Inc. | Ambulance | 104a Industrial Dr, Waxahachie, TX 75165 | 2018-06-13 |
1104319599 | Airmed Response LLC | Ambulance | 10440 John Cape Rd Ste 206, San Antonio, TX 78216-4101 | 2018-06-11 |
1801385661 | Air Evac Ems, Inc. | Ambulance | 18 Thomas St, Jasper, TX 75951-4975 | 2018-05-08 |
1104349901 | Med-trans Corporation | Ambulance | 209 State Highway 121 Byp Ste 11, Lewisville, TX 75067-4203 | 2017-07-24 |
1245772722 | Air Evac Ems, Inc. | Ambulance | 675 Deshong Dr, Paris, TX 75460-9315 | 2016-11-15 |
1669922985 | Med-trans Corporation | Ambulance | 10201 Airport Blvd Bldg 4, Amarillo, TX 79111-1227 | 2016-10-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.