AIR EVAC LIFETEAM
NPI 1679085989
Ambulance - Air Transport in Fort Smith, AR

Active since October 26, 2017CLIA 04D2143000 · Waiver
1321 DODSON AVE, FORT SMITH, AR 72901(877) 288-5340(417) 257-5761 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2019, Sep 26, 2018, Dec 29, 2017 and 1 more (4 updates tracked since 2017).

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1679085989) is a healthcare organization registered as an air transport in Fort Smith, Arkansas and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1679085989
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameAIR EVAC EMS, INC.
Location Address1321 DODSON AVEFort Smith, AR 72901-5107
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 DateOctober 26, 2017
Last NPPES UpdateFebruary 12, 20194 updates tracked since enumeration
NPI 1679085989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
1321 DODSON AVE, Fort Smith, AR 72901

Other Names 1

Doing Business AsAir Evac Lifeteam

Accepted 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 04D2143000

Air Evac Lifeteam 149 · Fort Smith, AR
Active · expires Jan 22, 2028
CLIA Number04D2143000
Laboratory TypeMobile Laboratory
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorDaisy Fultz
Laboratory Phone(636) 244-7879
Laboratory LocationAir Evac Lifeteam 1491321 Dodson Ave, Fort Smith, AR 72901
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.
6,209 services68 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.
68 services68 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 1679085989. 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 1321 Dodson Ave, Fort Smith, AR 72901. 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 04D2143000) is associated with this NPI, valid through January 22, 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 Blue Cross and Blue Shield of Oklahoma 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 February 12, 2019. 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.