NPIMap

Organization Active NPI

Rocky Mountain Holdings LLC

  • Air Ambulance
  • Walterboro, SC
National Provider Identifier
1063707487
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
185 Issued in SC
Legal business name
ROCKY MOUNTAIN HOLDINGS LLC
Practice address
One Medical Park Drive
#148
Walterboro, SC 29488-0000
Phone
(909) 915-2303
Fax
(402) 952-2411
NPI assigned
Jun 14, 2011
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Keene
Title
VP of Patient Business Services
Phone
(909) 915-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 185 SC Primary

Addresses

Primary practice location

One Medical Park Drive
#148
Walterboro, SC 29488-0000

Mailing address

621 Carnegie Dr
Ste 205
San Bernardino, CA 92408-3536
Phone (909) 915-2303

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mt Holdings236 organizations share this tax ID, including this one
Part of
Rocky Mt Holdings

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1063707487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "STE 205",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "909-915-2303",
            "fax_number": "402-952-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE MEDICAL PARK DRIVE",
            "address_2": "#148",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "294880000",
            "telephone_number": "909-915-2303",
            "fax_number": "402-952-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN HOLDINGS LLC",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "VP OF PATIENT BUSINESS SERVICES",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "SC",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walterboro, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.