AIR EVAC EMS INC — NPI 1194708909 (Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance in POPLAR BLUFF, MO)

CMS-1500 Box 24J / 33a • NPI

1194708909

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

3416A0800X (CMS 59)

Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance

Box 32 Service Location & ZIP+4

2979 HIGHWAY B, POPLAR BLUFF, MO, 63901

Official NPPES Practice Location

Practice Phone & Referral Fax

(573) 274-2082

Fax: (573) 778-1417

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1194708909 (AIR EVAC EMS INC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1194708909` (NPI-2 Organization / Facility)
Provider / Legal Name	AIR EVAC EMS INC
Plain-English Specialty	Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance NUCC Code: `3416A0800X` (Ambulance, Air Transport)
Certifying / Licensing Body	State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Practice Location Address	2979 HIGHWAY B, POPLAR BLUFF, MO, 63901
Practice Telephone / Fax	Tel: (573) 274-2082 \| Fax: (573) 778-1417
Administrative Mailing Address	PO BOX 106, WEST PLAINS, MO, 65775-0106
Enumeration & Last Sync	Enumerated: 2005-11-25 \| CMS Record Updated: 2018-08-03
Authorized Official	ERIC THOMAS (SRVP of Revenue Management)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2979 HIGHWAY B, POPLAR BLUFF, MO, 63901

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Plain-English Taxonomy & CMS Crosswalk (3416A0800X)

What Does Taxonomy Code 3416A0800X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3416A0800X translates to:
"Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 59 (Ambulance Service Provider)
Certifying / Accrediting Authority: State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)
Clinical Scope: Emergency 911 pre-hospital medical response or medically supervised inter-hospital critical care transport.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AIR EVAC EMS INC)

Typical CPT / Diagnostic Procedures:

Advanced Life Support (ALS) Pre-Hospital Cardiac Monitoring & Defibrillation
Pre-Hospital Trauma Immobilization, Airway Management & IV Access

Common Therapeutic Classes:

Pre-Hospital Epinephrine, Aspirin, Nitroglycerin, Naloxone & Albuterol

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3416A0800X` — Ambulance, Air Transport Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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AIR EVAC EMS INC (NPI #1194708909)