AIR EVAC EMS, INC (NPI# 1952715997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952715997 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS, INC |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
110 Country Club Dr Marion KY 42064-1873 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 2709650301 |
| Practice Fax Number | 4172575761 |
| Enumeration Date | 2014-06-18 |
| 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 |
| 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 |
110 COUNTRY CLUB DR |
| City | MARION |
| State | KY |
| Zip Code | 42064-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811156458 | Thomas G Rousseau Md Pllc | Emergency Medicine | 110 Country Club Dr, Marion, KY 42064-1873 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840924 | Tashena Elizabeth Hill | Pharmacist | 520 West Gum St., Marion, KY 42064 | 2017-09-13 |
| 1629318365 | Christopher Scott Wynn | Chiropractor | 107 Morningside Dr Ste 4, Marion, KY 42064 | 2013-02-17 |
| 1184747636 | John Jason Newcom | Chiropractor | 913 South Main Street, Marion, KY 42064 | 2007-04-09 |
| 1578684247 | Melissa Gayle Myers | Case Manager/Care Coordinator | 6654 State Road 1668, Marion, KY 42064 | 2007-04-02 |
| 1629195185 | Pennyrile District Health Department | Public Health or Welfare | 190 Industrial Dr., Marion, KY 42064 | 2007-03-22 |
| 1285747915 | Steve Evert Crider | Dentist | 913 B South Main Street, Marion, KY 42064 | 2006-08-16 |
| 1194726752 | Starkey Family Practice | Chiropractor | 789 Chapel Hill Road, Marion, KY 42064 | 2005-08-04 |
| 1659601755 | Graves County Health Department | Public Health or Welfare | 416 Central Avenue, Mayfield, KY 42064 | 2010-01-12 |
| 1245209790 | Crittenden County Hospital | General Acute Care Hospital | 520 W Gum St, Marion, KY 42064 | 2006-03-16 |
| 1841462223 | Crittenden County Hospital | Home Health | 520 West Gum St, Marion, KY 42064-0386 | 2008-03-26 |
| Find all providers in zip 42064 | ||||
| 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 |
| 1215910278 | Air Evac Ems Inc | Ambulance | 9842 Old Bainbridge Trl, Marion, IL 62959 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1770911901 | Air Evac Ems, Inc. | Ambulance | 1167 Sugarcamp Mtn Rd, Prestonsburg, KY 41653-7522 | 2013-10-25 |
| 1124452735 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 598 Airport Ln, Springfield, KY 40069-9607 | 2013-08-30 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1952735565 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 35 Volunteer Dr, Bedford, KY 40006 | 2013-08-30 |
| 1407280019 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 586 Hal Rogers Dr, London, KY 40744 | 2013-08-30 |
| 1558706382 | Rocky Mountain Holdings LLC | Ambulance | 1348 Wendell Ford Terminal Rd, Chavies, KY 41727-8692 | 2013-05-07 |
| 1013268325 | Rocky Mountain Holdings LLC | Ambulance | 1828 Kitty Hawk Dr, Elizabethtown, KY 42701 | 2012-09-26 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.