APOLLO MEDFLIGHT LLC NPI 1508427352

NPI Information

NPI: 1508427352
Provider Name: APOLLO MEDFLIGHT, LLC

Other Name: APOLLO MEDFLIGHT - AIR RESCUE

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
12 AIRPORT RD
PINE RIDGE, SD
ZIP 57770
Phone: (806) 322-4448
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APOLLO MEDFLIGHT, LLC is an air transport ambulance in Pine Ridge, SD. APOLLO MEDFLIGHT, LLC NPI is 1508427352. The provider is registered as an organization entity type.
The provider Other Name Is Apollo Medflight - Air Rescue.

The provider's business location address is:

12 AIRPORT RD
PINE RIDGE, SD
ZIP 57770
Phone: (806) 322-4448

The provider's authorized official is Robert Dorris .
The authorized official title is Cfo and has the following contact phone number (806) 359-4699.

The CLIA number assigned to this NPI record is 43D2168389 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2019 and was last updated on 4/9/2024.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2020116	MEDICAID	SOUTH DAKOTA

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: 5/5/2024

NPI Synchronization or Removal

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