AIR EVAC EMS INC (NPI# 1215910278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215910278 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
9842 Old Bainbridge Trl Marion IL 62959 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 6189981611 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2005-11-23 |
| 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 |
9842 OLD BAINBRIDGE TRL |
| City | MARION |
| State | IL |
| Zip Code | 62959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1972788438 | Med-trans Corporation | Ambulance | 1109 Snider St, Marion, VA 24354-4215 | 2008-01-03 |
| 1952715997 | Air Evac Ems, Inc | Ambulance | 110 Country Club Dr, Marion, KY 42064-1873 | 2014-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553896 | Lifenet, Inc. | Ambulance | 4309 Centegra Dr, Mchenry, IL 60050-1200 | 2020-06-19 |
| 1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
| 1114490455 | Air Evac Ems, Inc. | Ambulance | 2181 Vadalabene Dr, Maryville, IL 62062-5633 | 2019-01-09 |
| 1104338425 | Air Evac Ems, Inc. | Ambulance | 3666 N Il 130, Olney, IL 62450-4741 | 2017-10-26 |
| 1124555693 | Air Evac Ems, Inc. | Ambulance | 7894 N County Road 1050e, Mattoon, IL 61938-8523 | 2017-05-16 |
| 1417481912 | Air Evac Ems, Inc. | Ambulance | 529 E Grant St, Macomb, IL 61455-3313 | 2017-04-12 |
| 1225585904 | Air Evac Ems, Inc. | Ambulance | 635 Il Route 127, Greenville, IL 62246-3541 | 2016-09-09 |
| 1770036436 | Air Evac Ems, Inc. | Ambulance | 177 Vince Ashley Dr, Harrisburg, IL 62946-2400 | 2016-07-29 |
| 1992141949 | Osf Aviation, LLC | Ambulance | 1400 S Johanson Rd, Peoria, IL 61607-1119 | 2013-05-17 |
| 1326325499 | Lifenet, Inc | Ambulance | 3300 Vector Dr, Cahokia, IL 62206-1457 | 2011-11-03 |
| Find all providers with the same taxonomy | ||||
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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.