Organization · Type 2 NPI

Air Evac Ems, Inc.

Air Ambulance · Lebanon, KY

NPI number 1417628595 Active

Practice location

425 W Walnut St
Lebanon, KY 40033-1346

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: 1417628595
Entity type: Organization (Type 2)
Issued: Sep 28, 2021
Last updated: Nov 16, 2021
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
Senior Vice President Revenue MGMT
(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 1417628595

Air Evac Ems, Inc.'s National Provider Identifier is 1417628595, issued on Sep 28, 2021. The primary taxonomy on file is Air Ambulance (3416A0800X), and the practice location is in Lebanon, KY. The record was last updated on Nov 16, 2021.