Rocky Mountain Clinics, LLC
Organization Active NPI Addiction Medicine (Family Medicine) Physician · Alamosa, CO
NPI 1285468546 · NPPES record last updated Aug 29, 2024
Key facts
- NPI
- 1285468546
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- Legal business name
- ROCKY MOUNTAIN CLINICS, LLC
- Practice address
- 3324 Clark St
Alamosa, CO 81101-2092 - Phone
- (970) 493-9193
- NPI assigned
- Aug 29, 2024
- Organization subpart
- No
Authorized official
- Name
- Sabrina Gibson
- Title
- Cfo
- Phone
- (307) 277-1006
Other NPIs on the same Medicare enrollment 30
Corporate family (same tax ID) 42
Practitioners 83
-
Jacquelyn Shawn Adams, LCSW
-
Allison Jean Ahern, NP-C
-
Alexandra Anderson, PA-C
-
Karen Bant-Kreutzer, ANP-C
-
Robin Bangasser Bentley, FNP-C
-
Tonia Bershinsky, FNP-C
-
Nancy Smith Beste, PA-C. REG.PSYCHOTHER
-
Stephen Carleton, LCSW, CAS
-
Eleanor Marie Davis, APRN
-
Kenneth John Davis, PA-C
-
Robert Scott Dill, PA-C
-
Jill K. Erlenbusch, N.P.
-
Samantha Gehring, FNP-C
-
Susan Graham, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2310235 | Rocky Mountain Clinic - Alamosa | Certificate of waiver | Aug 28, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230117001707 | CO | Part B Supplier - Clinic/Group Practice | 5597136218 |
Receives reassigned benefits from 79 practitioners 30 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Gunnison, CO; La Junta, CO; Lakewood, CO; Las Animas, CO; Longmont, CO; Loveland, CO; Northglenn, CO; Pueblo, CO… |
National Provider Directory
- Tax ID family
- Rocky Mountain Clinics LLC
Locations
3324 Clark St
Alamosa, CO 81101
360 Peak One Dr
#110D
Frisco, CO 80443
Phone (303) 867-5309
1249 E Routt Ave
Pueblo, CO 81004
Phone (720) 808-0051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | Yes |
Addresses
Primary practice location
3324 Clark St
Alamosa, CO 81101-2092
Mailing address
1120 E Elizabeth St Ste G2
Fort Collins, CO 80524-4044
Phone (970) 443-8268
Other providers in Alamosa, CO
- Amy Robertson
- Kelli Robinson-Gonzales
- Rock Creek Family Medicine, P.C.
- Kerry Leigh Rockcastle
- Rocky Horton DDS, PC
- Stephany Rodriguez-Moreno
- Marissa Rodriguez
- Rebecca Rodriguez
- Daniella Cecilia Roehm
- Korissa Roesch
All providers in Alamosa, CO · Addiction Medicine (Family Medicine) Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.