Active NPI
Rocky Mountain Holdings LL C
- Air Ambulance
- Key West, FL
National Provider Identifier
1356688709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 0533
- Legal business name
- ROCKY MOUNTAIN HOLDINGS LL C
- Practice address
- 5900 College Rd
Key West, FL 33040-4342 - Phone
- (909) 951-2303
- Fax
- (402) 952-2411
- NPI assigned
- Jan 4, 2013
- Last updated
- Jan 4, 2013
- Organization subpart
- Yes
- Parent organization
- ROCKY MOUNTAIN HOLDINGS LL C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Keene
- Title
- VP of Patient Business Services
- Phone
- (909) 915-2301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 0533 | FL | Primary |
Addresses
Primary practice location
5900 College Rd
Key West, FL 33040-4342
Mailing address
621 Carnegie Dr
Suite 205
San Bernardino, CA 92408-3536
Phone (909) 951-2303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100512000369 | FL | Part B Supplier - Ambulance Service Supplier | 1153229166 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Inverness, FL; Venice, FL; Tampa, FL; Stuart, FL; Pensacola, FL; Panacea, FL; Orlando, FL; Niceville, FL… |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba St. Lucie County Air Rescue
- Air Ambulance
- Fort Pierce, FL
- NPI 1205238565
O20100512000369
-
dba Air Care
- Air Ambulance
- Sylacauga, AL
- NPI 1407855240
O20100512000369
National Provider Directory
National Provider Directory- Part of
- Rocky Mountain Holdings
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357257600000",
"number": "1356688709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 CARNEGIE DR",
"address_2": "SUITE 205",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083536",
"telephone_number": "909-951-2303",
"fax_number": "402-952-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 COLLEGE RD",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404342",
"telephone_number": "909-951-2303",
"fax_number": "402-952-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN HOLDINGS LL C",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROCKY MOUNTAIN HOLDINGS LL C",
"enumeration_date": "2013-01-04",
"last_updated": "2013-01-04",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "FL",
"license": "0533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.