Organization · NPI-2
Air Evac Ems, INC.
Ambulance, Air Transport · Mattoon, IL
NPI number1124555693
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1124555693
- Entity type
- Organization (NPI-2)
- Legal business name
- Air Evac Ems, INC.
- Organization subpart
- Yes
- Enumeration date
- May 16, 2017
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416A0800X | Ambulance, Air Transport | – | – | Yes |
Other names
- Air Evac Lifeteam (Doing Business As)
Practice location
7894 N County Road 1050eMattoon, IL 61938-8523
Phone 877-288-5340 · Fax 417-257-5761
Mailing address
Po Box 106West Plains, MO 65775-0106
Phone 877-288-5340 · Fax 417-257-5761
Authorized official
Eric Thomas
Svp Of Revenue Management
8772885340
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