Provider Demographics
NPI:1528370814
Name:DALE AVIATION, INC.
Entity Type:Organization
Organization Name:DALE AVIATION, INC.
Other - Org Name:MEDICAL AIR RESCUE COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-393-0000
Mailing Address - Street 1:3900 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57703-8726
Mailing Address - Country:US
Mailing Address - Phone:605-393-0000
Mailing Address - Fax:
Practice Address - Street 1:401 W. 34TH STREET
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58802
Practice Address - Country:US
Practice Address - Phone:605-393-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-02
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD10151804ST3416A0800X, 3416L0300X
ND260490-003416A0800X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport
No3416L0300XTransportation ServicesAmbulanceLand Transport