NPI 1194708909 · live from the CMS NPI Registry
Air Evac Ems INC
Ambulance, Air Transport in Poplar Bluff, MO. National Provider Identifier 1194708909, active.
NPI record
| NPI | 1194708909 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Air Transport 3416A0800X |
| Practice location | 2979 Highway B, Poplar Bluff, MO 63901 |
| Practice phone | 573-274-2082 |
| Mailing address | Po Box 106, West Plains, MO 65775 |
| Enumerated | November 25, 2005 |
| Last updated | August 3, 2018 |
| Authorized official | Eric Thomas, Srvp 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.