AIR EVAC EMS INC (NPI# 1235112426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235112426 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
6333 N Main Street Altus OK 73521 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 5804820461 |
| Practice Fax Number | 4172575761 |
| Mailing Telephone | 4172571585 |
| Mailing Fax Number | 4172575761 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | ERIC THOMAS (SRVP 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BASE ID | AEL-006 MCALESTER | 01 |
| 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 |
6333 N MAIN STREET |
| City | ALTUS |
| State | OK |
| Zip Code | 73521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982263752 | Shortgrass Community Health Center, Inc | Clinic/Center | 211 East Broadway, Altus, OK 73521 | 2019-06-06 |
| 1598025827 | Dustin James Robins | Counselor | 1052 E Cherry St, Altus, OK 73521 | 2012-05-21 |
| 1831471101 | Manda Lea Stephens | Nurse Practitioner | 205 S. Park Lane, Altus, OK 73521 | 2011-09-13 |
| 1649439167 | Lisa Michelle Shelton | Pharmacist | 2500 N Main, Altus, OK 73521 | 2008-06-09 |
| 1114192911 | Richard G. Henry | Health Maintenance Organization | 112 Val Verde, Altus, OK 73521 | 2008-04-23 |
| 1194881060 | Resters Diabetic Shoes and Home Medical | Durable Medical Equipment & Medical Supplies | 103 West Commerce Street, Altus, OK 73521 | 2006-12-28 |
| 1265592141 | Noble L Ballard.medical Clinic, Pllc | Family Medicine | 1015 East Broadway Street, Stuite 101, Altus, OK 73521 | 2006-12-11 |
| 1457377822 | Comanche County Healthcare | Family Medicine | 3000 N Main St, Suite A, Altus, OK 73521 | 2006-07-15 |
| 1326095381 | Charles C Carter Md Dph Pllc | Family Medicine | 1015 E Broadway St, Suite 102, Altus, OK 73521 | 2006-05-27 |
| 1013988179 | Carol Marie Sherman | Family Medicine | 205 S Park Ln, Altus, OK 73521 | 2006-01-27 |
| Find all providers in zip 73521 | ||||
| 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 |
| 1790154391 | Air Evac Ems, Inc. | Ambulance | 311 Fairview Ave, Ponca City, OK 74601-2002 | 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 |
| 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.