AIR EVAC LIFETEAM
NPI 1952715997
Ambulance - Air Transport in Marion, KY

NPI Status: Active since June 18, 2014

Contact Information

110 COUNTRY CLUB DR
MARION, KY
ZIP 42064
Phone: (270) 965-0301
Fax: (417) 257-5761

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  • Organization
  • Ambulance
  • Air Transport
  • Accepts Insurance
  • CLIA Number: 18D2080563
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 07-09-2026

About AIR EVAC LIFETEAM

This page provides the complete NPI Profile along with additional information for Air Evac Lifeteam, a provider established in Marion, Kentucky operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1952715997 assigned on June 2014. 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
1952715997
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
110 COUNTRY CLUB DR MARION, KY 42064
Location Phone
(270) 965-0301
Location Fax
(417) 257-5761
Mailing Address
PO BOX 106 WEST PLAINS, MO 65775
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-18-2014
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:

  • Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
  • Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Essential 9200 (+ Incentives) - HMO
  • Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
  • Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 9200 (+ Incentives) - EPO
  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
  • Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
  • Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Anthem Catastrophic Pathway 9200 (+ Incentives) - EPO

*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 127 times for 123 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 8,375 times for 122 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
18D2080563
Facility Type
Ambulance
Certificate Effective Date
July 10, 2024
Certificate Expiration Date
July 09, 2026
Laboratory Director
MS. LEVA BLANDFORD
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.
1952715997
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2910214110918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 0 + 2 + 1 + 4 + 1 + 1 + 0 + 9 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1952715997 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811156458THOMAS G ROUSSEAU MD PLLC
Organization
Emergency Medicine110 COUNTRY CLUB DR
MARION, KY 42064
(270) 744-9600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952715997, enumerated in the NPI registry as an "organization" on June 18, 2014

The provider is located at 110 Country Club Dr Marion, Ky 42064 and the phone number is (270) 965-0301

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

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. 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 18D2080563 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 June 18, 2014. 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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