AIR EVAC LIFETEAM
NPI 1609131051
Ambulance - Air Transport in Lawrenceburg, TN

NPI Status: Active since July 11, 2012

Contact Information

1619 S LOCUST AVE
LAWRENCEBURG, TN
ZIP 38464
Phone: (417) 257-7389
Fax: (417) 257-5761

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  • Organization
  • Ambulance
  • Air Transport
  • Accepts Insurance
  • CLIA Number: 44D2049795
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 11-13-2026

About AIR EVAC LIFETEAM

This page provides the complete NPI Profile along with additional information for Air Evac Lifeteam, a provider established in Lawrenceburg, Tennessee operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1609131051 assigned on July 2012. The practitioner's primary taxonomy code is 3416A0800X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Air Evac Lifeteam. The authorized official of this NPI record is Eric Thomas (Svp Of Revenue Management)

NPI
1609131051
Provider Legal Name
AIR EVAC EMS INC
Other Organization Name
AIR EVAC LIFETEAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1619 S LOCUST AVE LAWRENCEBURG, TN 38464
Location Phone
(417) 257-7389
Location Fax
(417) 257-5761
Mailing Address
PO BOX 106 WEST PLAINS, MO 65775
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-11-2012
Last Update Date
09-26-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Air Transport

Taxonomy Code
3416A0800X
Type
Transportation Services

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue HSA Bronze - PPO
  • Blue Protect - PPO
  • Blue Saver Bronze - PPO
  • Blue Value Gold - PPO
  • Blue Value Silver - PPO
  • Blue Access Gold for Business - PPO
  • Blue Choice Platinum for Business - PPO
  • Blue HSA Silver for Business - PPO
  • Blue Saver Bronze for Business - PPO
  • Blue Saver Gold for Business - PPO
  • Blue Secure Gold for Business - PPO
  • Blue Secure Silver for Business - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC THOMAS

Authorized Official Title
SVP OF REVENUE MANAGEMENT
Authorized Official Phone
(877) 288-5340

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, conventional air services, transport, one way (rotary wing)

Ambulance service, conventional air services, transport, one way (rotary wing) refers to a medical evacuation using a helicopter. This service is typically used in emergencies when quick transport to a hospital is needed, or in situations where ground transport is not feasible.

This service was performed 109 times for 102 patients

Rotary wing air mileage, per statute mile

Rotary wing air mileage refers to the distance covered by an air ambulance, specifically a helicopter, per statute mile. This service is crucial during emergencies where ground transport isn't fast or feasible. The cost is typically calculated based on the distance traveled.

This service was performed 6,888 times for 102 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
44D2049795
Facility Type
Ambulance
Certificate Effective Date
November 14, 2024
Certificate Expiration Date
November 13, 2026
Laboratory Director
DUSTIN BOMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Air Evac Lifeteam to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for AIR EVAC LIFETEAM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1609131051
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609232010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 2 + 3 + 2 + 0 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1609131051 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609131051, enumerated in the NPI registry as an "organization" on July 11, 2012

The provider is located at 1619 S Locust Ave Lawrenceburg, Tn 38464 and the phone number is (417) 257-7389

This medical organization specializes in Ambulance with taxonomy code 3416A0800X with a focus in Air Transport

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Ambulance service, conventional air services, transport, one way (rotary wing) and Rotary wing air mileage, per statute mile.

The provider's CLIA number is 44D2049795 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on July 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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