# AIR EVAC EMS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AIR EVAC EMS INC
- **Other names:** Air Evac Lifeteam
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730162736
- **Legal business name:** AIR EVAC EMS INC
- **Authorized official:** ERIC THOMAS (SRVP OF REVENUE MANAGEMENT)
- **Authorized official phone:** (877) 288-5340

## Contact information

- **Practice address:** 630 N WESTGATE AVE, JACKSONVILLE, IL 62650
- **Practice address phone:** (417) 257-1585
- **Mailing address:** PO BOX 106, WEST PLAINS, MO 65775-0106
- **Mailing address phone:** (417) 257-1585
- **Mailing address fax:** (417) 257-5761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416A0800X | Air Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 08/03/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AEL-027 SPRINGFIELD | BASE ID | — |