NPIMap

Organization Active NPI

Rocky Mountain Holdings LLC

  • Air Ambulance
  • Conyers, GA
National Provider Identifier
1194007492
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
00006002 Issued in GA
Legal business name
ROCKY MOUNTAIN HOLDINGS LLC
Practice address
1070 Culpepper Dr SW
Conyers, GA 30094-5978
Phone
(909) 915-2303
Fax
(402) 952-2411
NPI assigned
Sep 13, 2011
Last updated
Sep 13, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 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 00006002 GA Primary

Addresses

Primary practice location

1070 Culpepper Dr SW
Conyers, GA 30094-5978

Mailing address

621 Carnegie Dr
Ste 210
San Bernardino, CA 92408-3536
Phone (909) 915-2303

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mountain Holdings237 organizations share this tax ID, including this one
Part of
Rocky Mountain Holdings

Organizations with this tax ID in the same state 12

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

Locations

1070 Culpepper Dr SW
Conyers, GA 30094

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1194007492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "STE 210",
            "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": "1070 CULPEPPER DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945978",
            "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": "2011-09-13",
        "last_updated": "2011-09-13",
        "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": "GA",
            "license": "00006002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.