AIR EVAC LIFETEAM
NPI 1679942270
Ambulance - Air Transport in Ardmore, OK

Active since September 24, 2015CLIA 37D2102424 · Waiver
2205 EXECUTIVE AIRPORT DR, ARDMORE, OK 73401(877) 288-5340(417) 257-5761 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2022, Sep 26, 2018 (2 updates tracked since 2018).

About Air Evac Lifeteam NPPES

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

AIR EVAC LIFETEAM (NPI 1679942270) is a healthcare organization registered as an air transport in Ardmore, Oklahoma and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Eric Thomas, Svp Of Revenue Management, as its authorized official.

NPPES Registry Identity

NPI1679942270
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameAIR EVAC EMS, INC.
Location Address2205 EXECUTIVE AIRPORT DRArdmore, OK 73401-2101
Mailing AddressPo Box 106West Plains, MO 65775-0106
Fax(417) 257-5761
Organization SubpartYes
Authorized OfficialEric ThomasSvp Of Revenue Management · (877) 288-5340
Enumeration DateSeptember 24, 2015
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
NPI 1679942270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
2205 EXECUTIVE AIRPORT DR, Ardmore, OK 73401

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 37D2102424

Air Evac Lifeteam Air Evac #130 Air Evac Ems Inc · Ardmore, OK
Active · expires Sep 21, 2027
CLIA Number37D2102424
Laboratory TypeAmbulance
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorJared Cheek
Laboratory Phone(580) 226-3554
Laboratory LocationAir Evac Lifeteam Air Evac #130 Air Evac Ems Inc2205 Executive Airport Dr, Ardmore, OK 73401
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 2024 & 2026 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.
12,096 services135 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.
140 services135 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679942270, enumerated as an "organization" on September 24, 2015.

The provider is located at 2205 EXECUTIVE AIRPORT DR ARDMORE, OK 73401 and the phone number is (877) 288-5340.

Ambulance with taxonomy code 3416A0800X and a focus in Air Transport.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.