AIR EVAC EMS INC. (NPI# 1093959587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093959587 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
3047 Band Mill Hollow Road Logan WV 25601 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 3047526141 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2009-04-28 |
| 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 |
WV | Transportation Services |
| Other Name | Type Code |
|---|---|
| Air Evac Lifeteam | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1134545858 | Air Evac Ems Inc. | Ambulance | 1374 E Highway 24, Moberly, MO 65270-0000 | 2014-03-06 |
| 1760815633 | Air Evac Ems Inc. | Ambulance | 9614 Interstate 20, Eastland, TX 76448-0000 | 2013-08-15 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1265774780 | Air Evac Ems Inc. | Ambulance | 1818 Woodland Dr, Ironton, OH 45638-2344 | 2013-03-22 |
| 1417235896 | Air Evac Ems Inc. | Ambulance | 84 Mable Ln, Summersville, WV 26651-9325 | 2011-08-02 |
| 1215224720 | Air Evac Ems Inc. | Ambulance | 1002 Aviation Blvd, Williamsburg, KY 40769-0000 | 2011-07-05 |
| 1043507551 | Air Evac Ems Inc. | Ambulance | 661 County Farm Rd, Dublin, GA 31021-1805 | 2011-07-05 |
| 1891091146 | Air Evac Ems Inc. | Ambulance | 1843 River Road, Chillicothe, OH 45601-0000 | 2011-02-03 |
| 1083910335 | Air Evac Ems Inc. | Ambulance | 1118 Union Street, Portsmouth, OH 45662-0000 | 2011-02-03 |
| Street Address |
3047 BAND MILL HOLLOW ROAD |
| City | LOGAN |
| State | WV |
| Zip Code | 25601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| Find all providers in zip 25601 | ||||
| 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 |
|---|---|---|---|---|
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1710385315 | Air Evac Ems, Inc. | Ambulance | 163 Care Drive, Mount Hope, WV 25880-1157 | 2014-12-12 |
| 1417235896 | Air Evac Ems Inc. | Ambulance | 84 Mable Ln, Summersville, WV 26651-9325 | 2011-08-02 |
| 1649568924 | Rocky Mountain Holdings, LLC | Ambulance | 214 Aviation Way, Martinsburg, WV 25405 | 2011-07-20 |
| 1194973347 | Air Evac Ems Inc | Ambulance | 2 E Benjamin Dr, New Martinsville, WV 26155 | 2008-08-29 |
Please comment or provide details below to improve the information on AIR EVAC EMS INC..
| 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.