AIR EVAC LIFETEAM
NPI 1417628595
Ambulance - Air Transport in Lebanon, KY

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

The NPI number for Air Evac Ems, Inc. is 1417628595. It was assigned to this organization in the NPPES registry on September 28, 2021. 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 September 28, 2021CLIA 18D2240227 · Waiver

425 W WALNUT ST, LEBANON, KY 40033(877) 288-5340(417) 257-5761 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2021, Sep 28, 2021 (2 updates tracked since 2021).

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 1417628595) is a healthcare organization registered as an air transport in Lebanon, Kentucky and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through October 17, 2027 and lists Eric Thomas, Senior Vice President Revenue Mgmt, as its authorized official.

NPPES Registry Identity

NPI1417628595

Entity TypeOrganization

Primary Taxonomy3416A0800X

Legal Business NameAIR EVAC EMS, INC.

Location Address425 W WALNUT STLebanon, KY 40033-1346

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 ThomasSenior Vice President Revenue Mgmt · (877) 288-5340

Enumeration DateSeptember 28, 2021

Last NPPES UpdateNovember 16, 20212 updates tracked since enumeration

NPPES CertifiedNovember 1, 2021

✔ NPI 1417628595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Air TransportTransportation Services

Taxonomy Code3416A0800X

425 W WALNUT ST, Lebanon, KY 40033

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 18D2240227

Air Evac Lifeteam Ael 173 · Lebanon, KY

Active · expires Oct 17, 2027

CLIA Number18D2240227

Laboratory TypeMobile Laboratory

Certificate Effective DateOctober 18, 2025

Certificate Expiration DateOctober 17, 2027

Laboratory DirectorMs. Devona Wright

Laboratory Phone(270) 940-3347

Laboratory LocationAir Evac Lifeteam Ael 173425 West Walnut Street, Lebanon, KY 40033

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.

4,406 services78 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.

78 services78 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 1417628595. It was assigned to this organization in the NPPES registry on September 28, 2021. The provider is doing business as Air Evac Lifeteam.

Where is Air Evac Ems, Inc. located?

Air Evac Ems, Inc. is located at 425 W Walnut St, Lebanon, KY 40033. 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 18D2240227) is associated with this NPI, valid through October 17, 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 November 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.