ROCKY MOUNTAIN HOLDINGS, LLC; NPI #1902181720

Contact Information

ROCKY MOUNTAIN HOLDINGS, LLC

345 TAILWIND LANE
MATTAPONI, VA 23110-2103

Phone: 888-636-4438
Fax: 402-952-2423
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 1902181720

LBN Legal business name ROCKY MOUNTAIN HOLDINGS, LLC

Authorized official MARK KEENE - (SENIOR VICE PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 10/12/2011

Last updated 02/09/2015 - About 11 years ago

Identifiers

VA	License #	1186
VA	Medicaid	1902181720

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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