Organization
OGLALA SIOUX TRIBE AIR RESCUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WARNOCK (MANAGING DIRECTOR, OSTAR)
(605) 271-4856
Entity
Organization
Contact information
Practice address
PINE RIDGE COMPREHENSIVE HOSPITAL: 1201 E. HIGHWAY 18TH, PINERIDGE, SD 57770
(605) 867-3415
Mailing address
BIA HIGHWAY #2; 100 MAIN STREET, KYLE, SD 57752-0788
(605) 271-4690
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
1041
SD
Other
Enumeration date
12/13/2017
Last updated
12/21/2017
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