AIR EVAC EMS INC (NPI# 1225011042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225011042 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
1000 Holiday Drive Forrest City AR 72335 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 8706309194 |
| Practice Fax Number | 8706309430 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2005-11-25 |
| 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 |
1000 HOLIDAY DRIVE |
| City | FORREST CITY |
| State | AR |
| Zip Code | 72335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1922545383 | Kimberly Burnett | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2017-01-24 |
| 1134510951 | Kaylee Marple | Occupational Therapy Assistant | 726 North Washington St, Forrest City, AR 72335 | 2015-02-16 |
| 1033534185 | My Ride Transportation 2, LLC. | Non-emergency Medical Transport (VAN) | 224 Bond Dr., Forrest City, AR 72335 | 2014-02-26 |
| 1457796187 | Katherine Elizabeth Ramsey | Occupational Therapy Assistant | 3326 Highway 1 South, Forrest City, AR 72335 | 2013-05-08 |
| 1902158785 | Brittany Nicole Mitchell | Speech-Language Pathologist | 149 Water St., Lincoln Middle School, Forrest City, AR 72335 | 2012-10-04 |
| 1114278058 | Ashley Danielle Busby | Speech-Language Pathologist | 801 Deadrick Road, Forrest City, AR 72335 | 2012-10-01 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1487801007 | David George Boyles | Psychologist | 3998 Highway 1 North, Forrest City, AR 72335 | 2008-08-26 |
| 1255515581 | Shontel Denise Wilson | Speech-Language Pathologist | 300 Eldridge Rd, Suite 1, Forrest City, AR 72335 | 2007-12-21 |
| Find all providers in zip 72335 | ||||
| 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 |
|---|---|---|---|---|
| 1679085989 | Air Evac Ems, Inc. | Ambulance | 1321 Dodson Ave, Fort Smith, AR 72901-5107 | 2017-10-26 |
| 1851836829 | Rocky Mountain Holdings, LLC | Ambulance | 613b Hangar Row, Pine Bluff, AR 71601 | 2016-12-30 |
| 1356785539 | Viking Aviation | Ambulance | 6009 Dalton Farmer Dr, Jonesboro, AR 72404-8895 | 2013-04-18 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1669644274 | Medic 1 Air, LLC | Ambulance | 3153 County Road 906, Jonesboro, AR 72401-0916 | 2008-03-25 |
| 1255525218 | Air Evac Ems Inc. | Ambulance | 1017 N 14th St, Dequeen, AR 71832 | 2007-09-04 |
| 1790976561 | Precision Funding of Arkansas Inc. Dba Jet-med | Ambulance | 2226 Cottondale Ln, Little Rock, AR 72202-2059 | 2007-08-07 |
| 1437292877 | Airborne Flying Service, Inc. | Ambulance | 525 Airport Rd Ste A1, Hot Springs, AR 71913-4700 | 2007-02-15 |
| 1477652501 | Pafford Medical Services, Inc | Ambulance | 508 E 3rd St, Hope, AR 71801-5401 | 2006-09-22 |
| 1659391589 | Aero Med Express, Inc. | Ambulance | 1 Morsani Drive, Hangar 2b, Rogers, AR 72756 | 2006-07-21 |
| Find all providers with the same taxonomy | ||||
| City | FORREST CITY |
| Zip Code | 72335 |
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.