Organization Name: | AIR EVAC EMS INC |
NPI Number: | 1073957155 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
Mailing Address: | 4 Memorial Dr Potosi |
State: | MO US |
Postal Code: | 636649318 |
Phone Number: | 5734361154 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2013 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |