Organization Name: | AIR EVAC EMS INC |
NPI Number: | 1467435461 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC THOMAS (SRVP OF REVENUE MANAGEMENT) |
Mailing Address: | 6945 N Us Highway 45 Watson |
State: | IL US |
Postal Code: | 624732206 |
Phone Number: | 2175369341 |
Fax Number: | 2175369343 |
NPI Enumeration Date: | 11/22/2005 |
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: |