AIR EVAC EMS INC
NPI 1790768505
Ambulance - Air Transport in Mount Vernon, IL

NPI Status: Active since November 25, 2005

Contact Information

500 FIREBAUGH DR STE A
MOUNT VERNON, IL
ZIP 62864
Phone: (877) 288-5340
Fax: (417) 257-5761

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  • Organization
  • Ambulance
  • Air Transport
  • CLIA Number: 14D1088064
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 08-14-2026

About AIR EVAC EMS INC

This page provides the complete NPI Profile along with additional information for Air Evac Ems Inc, a provider established in Mount Vernon, Illinois operating as a Ambulance, focusing in air transport . The healthcare provider is registered in the NPI registry with number 1790768505 assigned on November 2005. The practitioner's primary taxonomy code is 3416A0800X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Eric Thomas (Senior Vice President, Revenue Mgmt)

NPI
1790768505
Provider Legal Name
AIR EVAC EMS INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
500 FIREBAUGH DR STE A MOUNT VERNON, IL 62864
Location Phone
(877) 288-5340
Location Fax
(417) 257-5761
Mailing Address
PO BOX 106 WEST PLAINS, MO 65775
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-25-2005
Last Update Date
02-07-2025
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ERIC THOMAS

Authorized Official Title
SENIOR VICE PRESIDENT, REVENUE MGMT
Authorized Official Phone
(877) 288-5340

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)

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 249 times for 246 patients

Rotary wing air mileage, per statute mile

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.

This service was performed 15,925 times for 246 patients

CLIA 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
14D1088064
Facility Type
Mobile Laboratory
Certificate Effective Date
August 15, 2024
Certificate Expiration Date
August 14, 2026
Laboratory Director
DERRICK GAITHER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Air Evac Ems Inc 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 1790768505, 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.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 1 + 4 + 6 + 1 + 6 + 5 + 0 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1790768505.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790768505, enumerated as an "organization" on November 25, 2005.

The provider is located at 500 FIREBAUGH DR STE A MOUNT VERNON, IL 62864 and the phone number is (877) 288-5340.

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