SE TEXAS AIR RESCUE
NPI 1104201565
Ambulance - Air Transport in Beaumont, TX

Active since July 28, 2015CLIA 45D2100240 · Waiver
2900 NORTH ST STE 408, BEAUMONT, TX 77702(409) 924-9262(417) 257-5761 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Se Texas Air Rescue NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SE TEXAS AIR RESCUE (NPI 1104201565) is a healthcare organization registered as an air transport in Beaumont, Texas and active in the NPI registry since July 2015. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1104201565
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameAIR EVAC EMS, INC.
Location Address2900 NORTH ST STE 408Beaumont, TX 77702-1542
Mailing AddressPo Box 106West Plains, MO 65775-0106
Fax(417) 257-5761
Organization SubpartYes
Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340
Enumeration DateJuly 28, 2015
Last NPPES UpdateSeptember 26, 2018
NPI 1104201565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
2900 NORTH ST STE 408, Beaumont, TX 77702

Other Names 1

Doing Business AsSe Texas Air Rescue

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2100240

Air Evac Ems Inc Dba Air Evac Lifeteam · Beaumont, TX
Active · expires Aug 10, 2027
CLIA Number45D2100240
Laboratory TypeAmbulance
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorAlyson Nickum-Smith
Laboratory Phone(409) 460-8148
Laboratory LocationAir Evac Ems Inc Dba Air Evac Lifeteam2900 N Street, Suite 408, Beaumont, TX 77702
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Rotary wing air mileage, per statute mile A0436
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.
3,616 services48 patients
Ambulance service, conventional air services, transport, one way (rotary wing) A0431
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.
48 services48 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ambulance (Air Transport)
2900 NORTH ST STE 408
BEAUMONT, TX 77702

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Air Evac Ems, Inc.'s NPI number?

The NPI number for Air Evac Ems, Inc. is 1104201565. It was assigned to this organization in the NPPES registry on July 28, 2015. The provider is doing business as SE Texas Air Rescue.

Where is Air Evac Ems, Inc. located?

Air Evac Ems, Inc. is located at 2900 North St Ste 408, Beaumont, TX 77702. The listed phone number is (409) 924-9262.

What is Air Evac Ems, Inc.'s specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Does Air Evac Ems, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2100240) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Air Evac Ems, Inc. was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.