AIR EVAC EMS INC. (NPI# 1013350339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013350339 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
1021 Highland Street Blytheville AR 72315 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 4172571585 |
| Practice Fax Number | 4172575761 |
| Enumeration Date | 2013-04-17 |
| 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 |
|---|---|---|---|---|
| 1740608033 | Air Evac Ems Inc. | Ambulance | 118 Medical Circle, West Liberty, KY 41472 | 2014-04-03 |
| 1134545858 | Air Evac Ems Inc. | Ambulance | 1374 E Highway 24, Moberly, MO 65270-0000 | 2014-03-06 |
| 1760815633 | Air Evac Ems Inc. | Ambulance | 9614 Interstate 20, Eastland, TX 76448-0000 | 2013-08-15 |
| 1265774780 | Air Evac Ems Inc. | Ambulance | 1818 Woodland Dr, Ironton, OH 45638-2344 | 2013-03-22 |
| 1417235896 | Air Evac Ems Inc. | Ambulance | 84 Mable Ln, Summersville, WV 26651-9325 | 2011-08-02 |
| 1215224720 | Air Evac Ems Inc. | Ambulance | 1002 Aviation Blvd, Williamsburg, KY 40769-0000 | 2011-07-05 |
| 1043507551 | Air Evac Ems Inc. | Ambulance | 661 County Farm Rd, Dublin, GA 31021-1805 | 2011-07-05 |
| 1891091146 | Air Evac Ems Inc. | Ambulance | 1843 River Road, Chillicothe, OH 45601-0000 | 2011-02-03 |
| 1083910335 | Air Evac Ems Inc. | Ambulance | 1118 Union Street, Portsmouth, OH 45662-0000 | 2011-02-03 |
| 1992018212 | Air Evac Ems Inc. | Ambulance | 2010 E Hillside Rd Ste 2, Laredo, TX 78041-3823 | 2010-07-15 |
| Street Address |
1021 HIGHLAND STREET |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| 1982816864 | Scott Husted Md Pa | Pathology | 10th and Highland Street, Blytheville, AR 72315 | 2007-05-04 |
| Find all providers in zip 72315 | ||||
| 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 |
| 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 |
| 1427032762 | Air Evac Ems Inc | Ambulance | 305 Airport Rd, Ste 2, Paragould, AR 72450 | 2005-11-30 |
| Find all providers with the same taxonomy | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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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.