AIR EVAC LIFETEAM
NPI 1104338425
Ambulance - Air Transport in Olney, IL

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

The NPI number for Air Evac Ems, Inc. is 1104338425. It was assigned to this organization in the NPPES registry on October 26, 2017. The provider is doing business as Air Evac Lifeteam.

Q: 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.

Active since October 26, 2017CLIA 14D2147345 · Waiver

3666 N IL 130, OLNEY, IL 62450(877) 288-5340(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.

Record update history: Sep 26, 2018, Apr 11, 2018, Oct 26, 2017 (3 updates tracked since 2017).

On this page

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1104338425) is a healthcare organization registered as an air transport in Olney, Illinois and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1104338425

Entity TypeOrganization

Primary Taxonomy3416A0800X

Legal Business NameAIR EVAC EMS, INC.

Location Address3666 N IL 130Olney, IL 62450-4741

Mailing AddressPo Box 106West Plains, MO 65775-0106 · (877) 288-5340 · Fax (417) 257-5761

Phone(877) 288-5340

Fax(417) 257-5761

Organization SubpartYes

Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340

Enumeration DateOctober 26, 2017

Last NPPES UpdateSeptember 26, 20183 updates tracked since enumeration

✔ NPI 1104338425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services

Taxonomy Code3416A0800X

3666 N IL 130, Olney, IL 62450

Open in Google Maps ↗

Other Names 1

Doing Business AsAir Evac Lifeteam

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 14D2147345

Air Evac Lifeteam - Ael 150 Olney Il · Olney, IL

Active · expires Apr 16, 2028

CLIA Number14D2147345

Laboratory TypeMobile Laboratory

Certificate Effective DateApril 17, 2026

Certificate Expiration DateApril 16, 2028

Laboratory DirectorThomas Allen

Laboratory Phone(812) 213-6208

Laboratory LocationAir Evac Lifeteam - Ael 150 Olney Il3666 N Il 130, Olney, IL 62450

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.

7,593 services119 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.

120 services119 patients

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 1104338425. It was assigned to this organization in the NPPES registry on October 26, 2017. The provider is doing business as Air Evac Lifeteam.

Where is Air Evac Ems, Inc. located?

Air Evac Ems, Inc. is located at 3666 N Il 130, Olney, IL 62450. The listed phone number is (877) 288-5340.

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 14D2147345) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Air Evac Ems, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield list Air Evac Ems, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.