NPIMap

Organization Active NPI

Rocky Mountain Holdings LLC

Doing business as LifeNet South Carolina

  • Air Ambulance
  • Moncks Corner, SC
National Provider Identifier
1699056887
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
185 Issued in SC
Legal business name
ROCKY MOUNTAIN HOLDINGS LLC
Doing business as
LifeNet South Carolina
Practice address
730 Stony Landing Rd
Suite 100, Sub Suite 2
Moncks Corner, SC 29461-2904
Phone
(843) 761-9782
Fax
(843) 761-9791
NPI assigned
Sep 1, 2011
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
AIR METHODS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Mark Raymond Keene
Title
Senior Vice President
Phone
(909) 915-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 185 SC Primary

Addresses

Primary practice location

730 Stony Landing Rd
Suite 100, Sub Suite 2
Moncks Corner, SC 29461-2904

Mailing address

621 Carnegie Dr
Suite 210
San Bernardino, CA 92408-3536
Phone (909) 915-2361

Other identifiers 1

IdentifierTypeStateIssuer
AB0317MedicaidSC

Other names 1

  • LifeNet South Carolina Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rocky Mt Holdings237 organizations share this tax ID, including this one
Part of
Air Methods Corporation

Organizations with this tax ID in the same state 8

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

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1699056887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR",
            "address_2": "SUITE 210",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "909-915-2361",
            "fax_number": "402-952-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 STONY LANDING RD",
            "address_2": "SUITE 100, SUB SUITE 2",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294612904",
            "telephone_number": "843-761-9782",
            "fax_number": "843-761-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HOLDINGS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR METHODS CORPORATION",
        "enumeration_date": "2011-09-01",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "SC",
            "license": "185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0317",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeNet South Carolina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moncks Corner, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.