Organization Name: | ROCKY MOUNTAIN HOLDINGS LLC |
NPI Number: | 1124309315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK KEENE (VP OF PATIETN BUSINESS SERVICES) |
Mailing Address: | 3190 N Victor Rd Prescott Valley |
State: | AZ US |
Postal Code: | 863148430 |
Phone Number: | 9099152303 |
Fax Number: | 4029522411 |
NPI Enumeration Date: | 09/01/2011 |
NPI Last Update Date: | 09/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416A0800X |
License Number: | 17 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Air Transport |
Taxonomy Definition: |