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AIR EVAC LIFETEAM
NPI 1265795728
Ambulance - Air Transport in Manchester, KY

Active since June 20, 2012CLIA 18D2042628 · Waiver
200 OLD TIMERS ROAD, MANCHESTER, KY 40962(606) 596-0036(606) 596-0040 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1265795728) is a healthcare organization registered as an air transport in Manchester, Kentucky and active in the NPI registry since June 2012. The organization holds a CLIA Waiver certificate valid through June 14, 2028 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1265795728
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameAIR EVAC EMS INC
Location Address200 OLD TIMERS ROADManchester, KY 40962-7507
Mailing AddressPo Box 106West Plains, MO 65775-0106
Phone(606) 596-0036
Fax(606) 596-0040
Organization SubpartYes
Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340
Enumeration DateJune 20, 2012
Last NPPES UpdateSeptember 26, 2018
✔ NPI 1265795728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
200 OLD TIMERS ROAD, Manchester, KY 40962
Open in Google Maps ↗

Other Names 1

Doing Business AsAir Evac Lifeteam

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 18D2042628

Air Evac Ems Inc, Dba Ae 109 Manchester · Manchester, KY
Active · expires Jun 14, 2028
CLIA Number18D2042628
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 15, 2026
Certificate Expiration DateJune 14, 2028
Laboratory DirectorMr. Brian Jackson
Laboratory Phone(636) 244-7879
Laboratory LocationAir Evac Ems Inc, Dba Ae 109 Manchester200 Old Timers Road, Manchester, KY 40962
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.
5,339 services75 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.
76 services75 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 1265795728. It was assigned to this organization in the NPPES registry on June 20, 2012. The provider is doing business as Air Evac Lifeteam.

Where is Air Evac Ems Inc located?

Air Evac Ems Inc is located at 200 Old Timers Road, Manchester, KY 40962. The listed phone number is (606) 596-0036.

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 18D2042628) is associated with this NPI, valid through June 14, 2028. 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.