Rocky Mountain Holdings, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

914 Issued in MT

Legal business name

ROCKY MOUNTAIN HOLDINGS, LLC

Doing business as

Air Idaho Rescue

Practice address

579 Yellowstone Road
West Yellowstone, MT 59758

Phone

(406) 640-1615

NPI assigned

May 12, 2014

Organization subpart

Yes

Parent organization

AIR METHODS CORPORATIONAs reported in NPPES

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

Authorized official

Name

Sharon J Keck

Title

Assistant Secretary

Phone

(303) 792-7400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Air Idaho Rescue Doing business as

Tax ID family

Rocky Mt Holdings237 organizations share this tax ID, including this one

Part of

Air Methods Corporation

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1609287721",
    "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": "800-499-9495",
            "fax_number": "402-952-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 YELLOWSTONE ROAD",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "59758",
            "telephone_number": "406-640-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR METHODS CORPORATION",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "KECK",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "303-792-7400"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "MT",
            "license": "914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0576725",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Air Idaho Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Air Idaho Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Air Ambulance in West Yellowstone, MT
• Providers in West Yellowstone, MT by specialty
• Air Ambulance in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.