AIR EVAC EMS INC. (NPI# 1689658932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689658932 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
1802 Air Medical Dr West Plains MO 65775 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 4172572613 |
| Practice Fax Number | 4172575761 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2018-09-26 |
| 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-001 WEST PLAINS | 01 |
| 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 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 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 |
| Street Address |
1802 AIR MEDICAL DR |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| 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 |
|---|---|---|---|---|
| 1225508039 | Airmed Response LLC | Ambulance | 1800 Air Medical Dr, West Plains, MO 65775-4500 | 2018-12-05 |
| 1154774073 | Calstar Air Medical Services LLC | Ambulance | 1800 Air Medical Dr, West Plains, MO 65775 | 2016-07-15 |
| 1487070009 | Airmed International, LLC | Ambulance | 1800 Air Medical Dr, West Plains, MO 65775 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023657038 | Med-trans Corporation | Ambulance | 2721 Ne Douglas St, Lee's Summit, MO 64064-2210 | 2019-12-23 |
| 1558883975 | Air Evac Ems, Inc. | Ambulance | 20069 Highway Uu, Louisiana, MO 63353-3922 | 2017-07-07 |
| 1427579960 | Air Evac Ems, Inc. | Ambulance | 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 | 2017-07-06 |
| 1407399280 | Lifenet, Inc. | Ambulance | 2207 Scott Ave, Saint Louis, MO 63103-3031 | 2016-11-28 |
| 1659724821 | Alpha Air Center LLC | Ambulance | 5509 Dennis Weaver Dr, Webb City, MO 64870-7207 | 2016-07-22 |
| 1134545858 | Air Evac Ems Inc. | Ambulance | 1374 E Highway 24, Moberly, MO 65270-0000 | 2014-03-06 |
| 1851644025 | Arch Air Medical Service Inc | Ambulance | 18216 Edison Ave, Chesterfield, MO 63005-3704 | 2012-10-24 |
| 1700137619 | Arch Air Medical Service Inc. | Ambulance | 1620 New Perrine Rd., Farmington, MO 63640-2061 | 2012-10-02 |
| 1396001665 | Lifenet, Inc | Ambulance | 18098 E 54 Hwy, Nevada, MO 64772-8012 | 2012-04-11 |
| 1952615403 | Rocky Mountain Holdings LLC | Ambulance | 200 Nw Rosecrans Rd, Saint Joseph, MO 64503-4008 | 2010-07-27 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.