Active NPI
Rocky Mountain Holdings LLC
- Air Ambulance
- Wildwood, FL
National Provider Identifier
1851683205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 0496
- Legal business name
- ROCKY MOUNTAIN HOLDINGS LLC
- Practice address
- 6450 Powell Rd
Wildwood, FL 34785-4258 - Phone
- (909) 915-2303
- Fax
- (402) 952-2411
- NPI assigned
- May 4, 2011
- Organization subpart
- Yes
- Parent organization
- ROCKY MOUNTAIN HILDINGS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Keene
- Title
- VP of Operations
- Phone
- (909) 915-2301
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 0496 | FL | Primary |
Addresses
Primary practice location
6450 Powell Rd
Wildwood, FL 34785-4258
Mailing address
621 Carnegie Dr
Ste 210
San Bernardino, CA 92408-3536
Phone (909) 915-2303
National Provider Directory
National Provider Directory- Tax ID family
- Rocky Mt Holdings
- Part of
- Rocky Mt Holdings
Organizations with this tax ID in the same state 15
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304553600000",
"number": "1851683205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 CARNEGIE DR",
"address_2": "STE 210",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083536",
"telephone_number": "909-915-2303",
"fax_number": "402-952-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6450 POWELL RD",
"city": "WILDWOOD",
"state": "FL",
"postal_code": "347854258",
"telephone_number": "909-915-2303",
"fax_number": "402-952-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN HOLDINGS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROCKY MOUNTAIN HILDINGS LLC",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-05",
"status": "A",
"authorized_official_last_name": "KEENE",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "909-915-2301"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "FL",
"license": "0496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.