AIR EVAC EMS INC NPI 1790768505

NPI Information

  • NPI: 1790768505
  • Provider Name: AIR EVAC EMS INC
  • Classification: Ambulance - 3416A0800X
  • Specialization: Air Transport
  • Entity Type: Organization
  • :
  • CLIA Number: 14D1088064
  • Address: 500 FIREBAUGH DR STE A
    MOUNT VERNON, IL
    ZIP 62864
  • Phone: (877) 288-5340

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NPI Details

AIR EVAC EMS INC is an air transport ambulance in Mount Vernon, IL. AIR EVAC EMS INC NPI is 1790768505. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

500 FIREBAUGH DR STE A
MOUNT VERNON, IL
ZIP 62864-796
Phone: (877) 288-5340
Fax: (417) 257-5761

The provider's authorized official is Eric Thomas .
The authorized official title is Senior Vice President, Revenue Mgmt and has the following contact phone number (877) 288-5340.

The CLIA number assigned to this NPI record is 14D1088064 - mobile laboratory with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Rotary wing air mileage, per statute mile (HCPCS:A0436)
  • Ambulance service, conventional air services, transport, one way (rotary wing) (HCPCS:A0431)

The enumeration date for this NPI number is 11/25/2005 and was last updated on 2/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416A0800XAmbulanceAir TransportYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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