AIR EVAC EMS, INC. (NPI# 1255315701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255315701 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS, INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
19502 E Rogers Post Rd Ste 5 Claremore OK 74019 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 9182838037 |
| Practice Fax Number | 9182838039 |
| Mailing Telephone | 8772885340 |
| Mailing Fax Number | 4172575761 |
| Enumeration Date | 2005-11-29 |
| 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 |
| 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 |
19502 E ROGERS POST RD STE 5 |
| City | CLAREMORE |
| State | OK |
| Zip Code | 74019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437134 | Anisah S Beasley | Case Manager/Care Coordinator | 24797 S Sh-66, Claremore, OK 74019 | 2020-11-06 |
| 1346890431 | Cymonne Williamson | Behavior Technician | 24797 Ok-99 #5, Claremore, OK 74019 | 2019-09-19 |
| 1679038996 | Louella Spottedwolf | Registered Nurse | Claremore Indian Hospital, 101 S. Moore Avenue, Claremore, OK 74019 | 2019-02-01 |
| 1225537277 | Elizabeth Aurelia Weilert | Nurse Practitioner | 24764 S 4090 Rd, Claremore, OK 74019 | 2018-02-06 |
| 1053789537 | Timothy Ahearn | Counselor | 24572 Humphries Circle, Claremore, OK 74019 | 2015-09-14 |
| 1699181628 | Julie D Stone | Speech-Language Pathologist | 25547 Blackberry Blvd, Claremore, OK 74019 | 2014-07-10 |
| 1871913889 | Okc Dental Health Associates, P.C. | Dentist | 2000 S Highway 66, Suite A Market Square, Claremore, OK 74019 | 2014-04-17 |
| 1265878706 | Kalee Goodman | Behavioral Analyst | 24794 S. Hwy 66, Suite 5, Claremore, OK 74019 | 2013-05-10 |
| 1710257324 | Deborah Anne Skinstad | Rehabilitation Counselor | 24797 S. Hwy 66, Suite 5, Claremore, OK 74019 | 2012-01-12 |
| 1770893372 | Jerry Dean Mckenzie | Personal Emergency Response Attendant | 7425 E Hwy 266, Claremore, OK 74019 | 2010-10-15 |
| Find all providers in zip 74019 | ||||
| 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 | ||||
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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.