Air Evac Ems, INC.
Ambulance, Air Transport in Portland, IN. Organization (NPI-2).
NPI number1801428362
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1801428362
- Entity type
- Organization (NPI-2)
- Legal business name
- Air Evac Ems, INC.
- Organization subpart
- Yes
- Enumeration date
- Feb 12, 2020
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3416A0800X | Ambulance, Air Transport | – | – | Yes |
Other names
- Lutheran Health (Other Name)
Practice location
647 W 100 NPortland, IN 47371-8071
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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