AIR EVAC EMS INC. (NPI# 1740608033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740608033 |
| Entity Type | Organization |
| Organization Name | AIR EVAC EMS INC. |
| Other Organization Name | AIR EVAC LIFETEAM |
| Practice Address |
118 Medical Circle West Liberty KY 41472 |
| Mailing Address |
Po Box 106 West Plains MO 65775-0106 |
| Practice Telephone | 4172571585 |
| Practice Fax Number | 4172575761 |
| Enumeration Date | 2014-04-03 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1992018212 | Air Evac Ems Inc. | Ambulance | 2010 E Hillside Rd Ste 2, Laredo, TX 78041-3823 | 2010-07-15 |
| Street Address |
118 MEDICAL CIRCLE |
| City | WEST LIBERTY |
| State | KY |
| Zip Code | 41472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548811888 | Pamela Whitt | Technician | 2935 Redwine Road, West Liberty, KY 41472 | 2019-09-27 |
| 1356907224 | United Clinics of Kentucky LLC | Clinic/Center | 633 Prestonsburg St, West Liberty, KY 41472 | 2019-05-15 |
| 1114059581 | West Liberty Elementary | Public Health or Welfare | Route 5, West Liberty, KY 41472 | 2007-03-12 |
| 1306978762 | East Valley Elementary | Public Health or Welfare | 7585 Hwy 172, West Liberty, KY 41472 | 2007-03-12 |
| 1780716159 | Gateway District Health Department | Public Health or Welfare | 493 Riverside Dr, West Liberty, KY 41472 | 2007-03-12 |
| 1013049386 | Morgan Co Middle School | Public Health or Welfare | 380 Road 6 Success, West Liberty, KY 41472 | 2007-03-12 |
| 1457483729 | Morgan Co High School | Public Health or Welfare | 150 Road To Success, West Liberty, KY 41472 | 2007-03-12 |
| 1205979887 | Morgan County Board of Education | Local Education Agency (LEA) | 460 Prestonsburg Street, West Liberty, KY 41472 | 2007-02-14 |
| 1306985734 | Lesa Keaton Mattingly | Pharmacist | 412 Liberty Road, West Liberty, KY 41472 | 2007-02-05 |
| 1477648004 | Lora Tinsley | Counselor | 767 North Main Street, West Liberty, KY 41472 | 2006-10-03 |
| Find all providers in zip 41472 | ||||
| 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 |
|---|---|---|---|---|
| 1770911901 | Air Evac Ems, Inc. | Ambulance | 1167 Sugarcamp Mtn Rd, Prestonsburg, KY 41653-7522 | 2013-10-25 |
| 1124452735 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 598 Airport Ln, Springfield, KY 40069-9607 | 2013-08-30 |
| 1316371925 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 709 Airport Rd, Mount Sterling, KY 40353 | 2013-08-30 |
| 1952735565 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 35 Volunteer Dr, Bedford, KY 40006 | 2013-08-30 |
| 1407280019 | Rocky Mountain Holdings LLC Dba Air Methods Kentucky | Ambulance | 586 Hal Rogers Dr, London, KY 40744 | 2013-08-30 |
| 1558706382 | Rocky Mountain Holdings LLC | Ambulance | 1348 Wendell Ford Terminal Rd, Chavies, KY 41727-8692 | 2013-05-07 |
| 1013268325 | Rocky Mountain Holdings LLC | Ambulance | 1828 Kitty Hawk Dr, Elizabethtown, KY 42701 | 2012-09-26 |
| 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 |
| 1215224720 | Air Evac Ems Inc. | Ambulance | 1002 Aviation Blvd, Williamsburg, KY 40769-0000 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST LIBERTY |
| Zip Code | 41472 |
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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.