Organization · Type 2 NPI

Air Evac Ems, Inc.

Air Ambulance · Maryville, IL

NPI number 1114490455 Active

Practice location

2181 Vadalabene Dr
Maryville, IL 62062-5633

Call (877) 288-5340 Map

Fax (417) 257-5761

Mailing address

PO Box 106
West Plains, MO 65775-0106

Specialties and licenses

Taxonomy	Code	License
Air Ambulance Primary	3416A0800X	None listed

Air Ambulance: Definition to come...

NPI record

NPI: 1114490455
Entity type: Organization (Type 2)
Issued: Jan 9, 2019
Last updated: Jun 14, 2019
Status: Active
Subpart: Yes of Air Evac Ems, Inc.

Other names

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Air Evac Lifeteam · doing business as
Air Evac Lifeteam · doing business as

Authorized official

Eric Thomas
SVP of Revenue Management
(877) 288-5340

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114490455

Air Evac Ems, Inc.'s National Provider Identifier is 1114490455, issued on Jan 9, 2019. The primary taxonomy on file is Air Ambulance (3416A0800X), and the practice location is in Maryville, IL. The record was last updated on Jun 14, 2019.