OGLALA LAKOTA AIR RESCUE LLC NPI 1215570759

NPI Information

NPI: 1215570759
Provider Name: OGLALA LAKOTA AIR RESCUE, LLC
Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

CLIA Number: 43D2180022

Address:
12 AIRPORT RD
PINE RIDGE, SD
ZIP 57770
Phone: (805) 242-4048
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OGLALA LAKOTA AIR RESCUE, LLC is an air transport ambulance in Pine Ridge, SD. OGLALA LAKOTA AIR RESCUE, LLC NPI is 1215570759. The provider is registered as an organization entity type.

The provider's business location address is:

12 AIRPORT RD
PINE RIDGE, SD
ZIP 57770-072
Phone: (805) 242-4048

The provider's authorized official is Wade Albert Black .
The authorized official title is Ceo and has the following contact phone number (214) 592-2627.

The CLIA number assigned to this NPI record is 43D2180022 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2019 and was last updated on 10/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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