AIR EVAC LIFETEAM
NPI 1629770128
Ambulance - Air Transport in London, KY

Active since March 20, 2023CLIA 18D2281351 · Waiver
275 AIR PARK DR, LONDON, KY 40744(877) 288-5340(417) 257-5761 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Mar 20, 2023 (2 updates tracked since 2023).

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1629770128) is a healthcare organization registered as an air transport in London, Kentucky and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1629770128
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameAIR EVAC EMS, INC.
Location Address275 AIR PARK DRLondon, KY 40744-8277
Mailing AddressPo Box 106West Plains, MO 65775-0106 · (877) 288-5340 · Fax (417) 257-5761
Fax(417) 257-5761
Organization SubpartYes
Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340
Enumeration DateMarch 20, 2023
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
NPI 1629770128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
275 AIR PARK DR, London, KY 40744

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 18D2281351

Air Evac Ems Inc Dba Air Evac Lifeteam Ael 179 · London, KY
Active · expires May 4, 2027
CLIA Number18D2281351
Laboratory TypeMobile Laboratory
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorMr. Joe Bradshaw
Laboratory Phone(417) 274-4107
Laboratory LocationAir Evac Ems Inc Dba Air Evac Lifeteam Ael 179275 Air Park Drive, London, KY 40744
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.
6,704 services94 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.
95 services94 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 1629770128. It was assigned to this organization in the NPPES registry on March 20, 2023. The provider is doing business as Air Evac Lifeteam.

Where is Air Evac Ems, Inc. located?

Air Evac Ems, Inc. is located at 275 Air Park Dr, London, KY 40744. 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 18D2281351) is associated with this NPI, valid through May 4, 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 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.