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
1155 AL HWY 14, ELMORE, AL 36025
(334) 285-2064
(334) 285-4187
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-064 ELMORE
BASE ID
—
Enumeration date
08/23/2006
Last updated
08/03/2018
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