Organization Active NPI

Rocky Mountain Holdings, LLC

  • Air Ambulance
  • Brookhaven, MS
National Provider Identifier
1306371687
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
1149 Issued in MS
Legal business name
ROCKY MOUNTAIN HOLDINGS, LLC
Doing business as
Baptist LifeFlight
Practice address
411 Highway 51 N
Brookhaven, MS 39601
Phone
(601) 990-4610
NPI assigned
Apr 25, 2017
Organization subpart
Yes
Parent organization
AIR METHODS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Michael Dennis Allen
Title
Vice President
Phone
(888) 636-4438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 1149 MS Primary

Addresses

Primary practice location

411 Highway 51 N
Brookhaven, MS 39601

Mailing address

PO Box 713362
Cincinnati, OH 45271-3362
Phone (888) 636-4438

Other identifiers 1

IdentifierTypeStateIssuer
03000762MedicaidMS

Other names 1

  • Baptist LifeFlight Doing business as

National Provider Directory

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

Organizations with this tax ID in the same state 2

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

Locations

411 Highway 51 N
Brookhaven, MS 39601
Phone (601) 550-2146

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1306371687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713362",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452713362",
            "telephone_number": "888-636-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HIGHWAY 51 N",
            "city": "BROOKHAVEN",
            "state": "MS",
            "postal_code": "39601",
            "telephone_number": "601-990-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR METHODS CORPORATION",
        "enumeration_date": "2017-04-25",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "888-636-4438"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MS",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000762",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baptist LifeFlight",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist LifeFlight",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookhaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.