AIR EVAC LIFETEAM
NPI 1417628595
Ambulance - Air Transport in Lebanon, KY
NPI Status: Active since September 28, 2021
Contact Information
425 W WALNUT ST
LEBANON, KY
ZIP 40033
Phone: (877) 288-5340
Fax: (417) 257-5761
- Organization
- Ambulance
- Air Transport
- CLIA Number: 18D2240227
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 10-17-2027
About AIR EVAC LIFETEAM
This page provides the complete NPI Profile along with additional information for Air Evac Lifeteam, a provider established in Lebanon, Kentucky operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1417628595 assigned on September 2021. The practitioner's primary taxonomy code is 3416A0800X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Air Evac Lifeteam. The authorized official of this NPI record is Eric Thomas (Senior Vice President Revenue Mgmt)
- NPI
- 1417628595
- 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
- 425 W WALNUT ST LEBANON, KY 40033
- Location Phone
- (877) 288-5340
- Location Fax
- (417) 257-5761
- Mailing Address
- PO BOX 106 WEST PLAINS, MO 65775
- Mailing Phone
- (877) 288-5340
- Mailing Fax
- (417) 257-5761
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-28-2021
- Last Update Date
- 11-16-2021
- Code Navigator
Location Map
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
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)
Rotary wing air mileage, per statute mile
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 42 times for 42 patientsRotary 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 2,203 times for 42 patientsCLIA 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
- 18D2240227
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- October 18, 2025
- Certificate Expiration Date
- October 17, 2027
- Laboratory Director
- MS. DEVONA WRIGHT
- 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1417628595, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417628595, enumerated as an "organization" on September 28, 2021.
The provider is located at 425 W WALNUT ST LEBANON, KY 40033 and the phone number is (877) 288-5340.
Ambulance with taxonomy code 3416A0800X and a focus in Air Transport.
