AIR EVAC EMS INC (NPI# 1316920135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316920135 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
100 Robinson St Etowah TN 37331 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 4232634404 |
| Practice Fax Number | 4232634403 |
| Mailing Telephone | 4172571585 |
| Mailing Fax Number | 4172575761 |
| Enumeration Date | 2005-11-25 |
| 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-041 MCMINN CNTY | 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 |
100 ROBINSON ST |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
| 1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
| 1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| 1326066788 | Jeffrey Allan Anderson | Pharmacist | 725 Tennessee Ave, Etowah, TN 37331 | 2006-07-17 |
| 1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
| 1760448591 | Samuel John Olsen II | Internal Medicine | 301 Grady Rd, Etowah, TN 37331-0325 | 2006-04-21 |
| Find all providers in zip 37331 | ||||
| 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 |
|---|---|---|---|---|
| 1265077259 | Air Evac Ems, Inc. | Ambulance | 1401 Diggs Rd Ste B, Paris, TN 38242-7538 | 2019-11-13 |
| 1326681594 | Chc901 LLC | Ambulance | 2565 Horizon Lake Dr Ste 110, Memphis, TN 38133-8113 | 2019-10-21 |
| 1003394933 | Air Evac Ems, Inc. | Ambulance | 4575 Guthrie Hwy, Clarksville, TN 37040-5422 | 2018-08-02 |
| 1609374537 | East Texas Air One LLC | Ambulance | 1 Burton Hills Blvd Ste 250, Nashville, TN 37215-6195 | 2018-01-25 |
| 1497263164 | Care Med Ambulance LLC | Ambulance | 2511 Riverside Dr Ste B5, Chattanooga, TN 37406 | 2018-01-16 |
| 1659887545 | Rocky Mountain Holdings, Lcc | Ambulance | 4570 S Jefferson Ave, Cookeville, TN 38506 | 2017-12-14 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1023551298 | Air Evac Ems, Inc. | Ambulance | 83 W Holley Street Ext, Parsons, TN 38363-4800 | 2016-11-21 |
| 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.