AIR EVAC EMS, INC. (NPI# 1710385315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710385315 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS, INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
163 Care Drive Mount Hope WV 25880-1157 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 4172571585 |
| Practice Fax Number | 4172575761 |
| Enumeration Date | 2014-12-12 |
| 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 |
|---|---|---|---|---|
| 1598398257 | Air Evac Ems, Inc. | Ambulance | 311 W 400 S, Wabash, IN 46992-7966 | 2020-02-20 |
| 1801428362 | Air Evac Ems, Inc. | Ambulance | 647 W 100 N, Portland, IN 47371-8071 | 2020-02-12 |
| 1487286423 | Air Evac Ems, Inc. | Ambulance | 1777 N 200 E, Knox, IN 46534-8162 | 2020-02-07 |
| 1356980650 | Air Evac Ems, Inc. | Ambulance | 125 Promenade Pkwy, Fayetteville, GA 30214-7712 | 2020-01-03 |
| 1265077259 | Air Evac Ems, Inc. | Ambulance | 1401 Diggs Rd Ste B, Paris, TN 38242-7538 | 2019-11-13 |
| 1861059289 | Air Evac Ems, Inc. | Ambulance | 306 Wallenburg Dr, Natchitoches, LA 71457-3680 | 2019-05-21 |
| 1114490455 | Air Evac Ems, Inc. | Ambulance | 2181 Vadalabene Dr, Maryville, IL 62062-5633 | 2019-01-09 |
| 1912472796 | Air Evac Ems, Inc. | Ambulance | 1116 Morningside Dr, Perry, GA 31069-2906 | 2018-10-09 |
| 1003394933 | Air Evac Ems, Inc. | Ambulance | 4575 Guthrie Hwy, Clarksville, TN 37040-5422 | 2018-08-02 |
| 1013400126 | Air Evac Ems, Inc. | Ambulance | 104a Industrial Dr, Waxahachie, TX 75165 | 2018-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | AIR EVAC EMS, INC. | 1001 Boardwalk Springs Place, Suite 250, O'Fallon, MO 63368 |
| Ohio Business Entities | AIR EVAC EMS, INC. | 1001 Boardwalk Spring Place, Suite 250, O'Fallon, MO 63368 |
| Colorado Business Entities | AIR EVAC EMS, INC. | 1001 Boardwalk Springs Place, Ste 250, O'fallon, MO 63368 |
| Indiana Business Entities | AIR EVAC EMS, INC. | 1001 Broadwalk Springs Place, Ste 250, O'fallon, MO 63368 |
| Oklahoma Business Registrations | AIR EVAC EMS, INC. | 1001 Boardwalk Springs Pl Ste 250, Ofallon, MO 63368 |
| Street Address |
163 CARE DRIVE |
| City | MOUNT HOPE |
| State | WV |
| Zip Code | 25880-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733223 | Carrie Lois Jaap | Technician | 573 Prosperity Rd., Mt. Hope, WV 25880 | 2020-09-04 |
| 1740893080 | Kristi Lynn Clay | Technician | 116 Bennett Hollow Rd, Mount Hope, WV 25880 | 2020-08-26 |
| 1053922948 | Felishia Nichole Adkins | Technician | 3864 Packs Branch Rd, Mount Hope, WV 25880 | 2020-08-13 |
| 1407467756 | Shirley Smith | Technician | 3827 Legends Hwy, Mount Hope, WV 25880 | 2020-08-11 |
| 1093342982 | Bradley Prosperity Vol Fire Dept | Ambulance | 5950 Robert C Byrd Dr, Bradly, WV 25880 | 2020-03-23 |
| 1629520598 | New River Health Association, Inc | Clinic/Center | 269 Martin Lane, Mount Hope, WV 25880 | 2016-10-26 |
| 1871552893 | Pioneer Medical Services Inc | Durable Medical Equipment & Medical Supplies | 304 Dearing Dr, Mount Hope, WV 25880 | 2006-03-20 |
| 1598171316 | Kara Vosler | Dentist | 729 Main Street, Mount Hope, WV 25880 | 2014-07-02 |
| 1942556527 | Main Street Pharmacy | Pharmacy | 301 Main St, Mount Hope, WV 25880-1105 | 2012-08-01 |
| 1972893667 | Khaja Mohiuddin Mohammed | Pharmacist | 301 Main St, Mount Hope, WV 25880-1105 | 2011-04-14 |
| Find all providers in zip 25880 | ||||
| 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 |
| 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 |
| 1093959587 | Air Evac Ems Inc. | Ambulance | 3047 Band Mill Hollow Road, Logan, WV 25601 | 2009-04-28 |
| 1194973347 | Air Evac Ems Inc | Ambulance | 2 E Benjamin Dr, New Martinsville, WV 26155 | 2008-08-29 |
| City | MOUNT HOPE |
| Zip Code | 25880 |
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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.