Oglala Lakota Air Rescue, LLC
NPI #1215570759 in Pine Ridge, South Dakota
Provider Information
- NPI Number
- 1215570759
- Entity Type
- Organization
- Organization Name
- Oglala Lakota Air Rescue, LLC
- Primary Specialty
- Ambulance - Air Transport
- Enumeration Date
- Oct 28, 2019
- Last Updated
- Oct 28, 2019
Practice Location
- Address
- 12 AIRPORT RD
- City
- Pine Ridge
- State
- South Dakota
- ZIP Code
- 57770-3072
- Phone
- (805) 242-4048
Authorized Official
- Name
- MR. WADE ALBERT BLACK
- Title
- CEO
- Phone
- (214) 592-2627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Air Transport — Air Transport |
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