ROCKY MOUNTAIN HOLDINGS, LLC; NPI #1801385596

Contact Information

ROCKY MOUNTAIN HOLDINGS, LLC

3966 STATE HIGHWAY 30A
FULTONVILLE, NY 12072

Phone: 518-922-8990
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Air Transport	3416A0800X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for ROCKY MOUNTAIN HOLDINGS, LLC

NPI Number 1801385596

LBN Legal business name ROCKY MOUNTAIN HOLDINGS, LLC

Authorized official SHARON KECK - (ASSISTANT SECRETARY)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 05/08/2018

Last updated 07/12/2018 - About 8 years ago

Identifiers

NY	License #	34597
NY	Medicaid	01653745

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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