Provider Demographics
NPI:1104319599
Name:AIRMED RESPONSE LLC
Entity type:Organization
Organization Name:AIRMED RESPONSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-288-5340
Mailing Address - Street 1:PO BOX 913
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-0913
Mailing Address - Country:US
Mailing Address - Phone:877-288-5340
Mailing Address - Fax:
Practice Address - Street 1:10440 JOHN CAPE RD STE 206
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-4101
Practice Address - Country:US
Practice Address - Phone:210-293-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AIRMED RESPONSE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-11
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport