Organization
AIR EVAC EMS INC
Active
Parent organization
AIR EVAC EMS INC
Other names
Air Evac Lifeteam
Organization subpart
Yes
Provider details
NPI number
Legal business name
AIR EVAC EMS INC
Authorized official
ERIC THOMAS (SRVP OF REVENUE MANAGEMENT)
(877) 288-5340
Entity
Organization
Contact information
Practice address
6945 N US HIGHWAY 45, WATSON, IL 62473
(217) 536-9341
(217) 536-9343
Mailing address
PO BOX 106, WEST PLAINS, MO 65775-0106
(417) 257-1585
(417) 257-5761
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AEL-028 EFFINGHAM
BASE ID
—
Enumeration date
11/22/2005
Last updated
08/03/2018
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