AIR EVAC EMS, INC. (NPI# 1790154391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790154391 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS, INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
311 Fairview Ave Ponca City OK 74601-2002 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 5807495442 |
| Practice Fax Number | 4172575761 |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2018-12-13 |
| 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 |
311 FAIRVIEW AVE |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| 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 |
|---|---|---|---|---|
| 1184135030 | Rocky Mountain Holdings, LLC. | Ambulance | 208 Piper Dr, Tulsa, OK 74132-4005 | 2017-10-18 |
| 1982137055 | Jamie Lynn Collins | Ambulance | 10720 E 122nd St N, Collinsville, OK 74021-5557 | 2017-04-06 |
| 1871962472 | Air Evac Ems, Inc. | Ambulance | 1200 Se Avenue N, Idabel, OK 74745-7834 | 2015-09-24 |
| 1922477520 | Air Evac Ems, Inc. | Ambulance | 800 Hospital Cir, Kingfisher, OK 73750-5013 | 2015-09-24 |
| 1326415068 | Med-trans Corporation | Ambulance | 123 Airport Dr, Mcalester, OK 74501-7603 | 2015-08-28 |
| 1750774535 | Eaglemed, LLC | Ambulance | 712 Ne 14th St, Guymon, OK 73942-3366 | 2015-03-18 |
| 1265834600 | Air Evac Ems, Inc. | Ambulance | 3705 East Main Street, Weatherford, OK 73096-3309 | 2014-09-17 |
| 1942545058 | Eaglemed LLC | Ambulance | 1005 N Strong Blvd, Mcalester, OK 74501-4221 | 2012-11-29 |
| 1740533918 | Rocky Mountain Holdings LLC | Ambulance | 12023 N Highway 99, Seminole, OK 74868-5402 | 2012-10-24 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| Find all providers with the same taxonomy | ||||
| City | PONCA CITY |
| Zip Code | 74601 |
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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.