NPI 1114490455 · live from the CMS NPI Registry
Air Evac Ems, INC.
Ambulance, Air Transport in Maryville, IL. National Provider Identifier 1114490455, active.
NPI record
| NPI | 1114490455 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Air Transport 3416A0800X |
| Practice location | 2181 Vadalabene Dr, Maryville, IL 62062 |
| Practice phone | 877-288-5340 |
| Mailing address | Po Box 106, West Plains, MO 65775 |
| Enumerated | January 9, 2019 |
| Last updated | June 14, 2019 |
| Authorized official | Eric Thomas, Svp Of Revenue Management |
| Other names | Air Evac Lifeteam |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Air Transport primary | 3416A0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.