Oglala Lakota Air Rescue, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

OGLALA LAKOTA AIR RESCUE, LLC

Practice address

12 Airport Rd
Pine Ridge, SD 57770-3072

Phone

(805) 242-4048

NPI assigned

Oct 28, 2019

Last updated

Oct 28, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Wade Albert Black

Title

Ceo

Phone

(214) 592-2627

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1215570759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 W INTERSTATE 40 STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791066053",
            "telephone_number": "806-322-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 AIRPORT RD",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577703072",
            "telephone_number": "805-242-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OGLALA LAKOTA AIR RESCUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-592-2627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngoc Bao Nguyen, PHARM.D.
• Julie Ann Novak, REGISTERED NURSE
• Carla Ofelia Nunez, RDH
• Steven O'Leary, RN
• Adaobi Stella Obika, PHARMD
• Oglala Sioux Lakota Housing
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe
• Oglala Sioux Tribe

• Air Ambulance in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Air Ambulance in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.