NPIMap

Organization Active NPI

Rocky Mountain Holdings, LLC

  • Air Ambulance
  • Mattaponi, VA
National Provider Identifier
1902181720
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
1186 Issued in VA
Legal business name
ROCKY MOUNTAIN HOLDINGS, LLC
Practice address
345 Tailwind Lane
Mattaponi, VA 23110-2103
Phone
(888) 636-4438
Fax
(402) 952-2423
NPI assigned
Oct 12, 2011
Organization subpart
Yes
Parent organization
AIR METHODS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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 1186 VA Primary

Addresses

Primary practice location

345 Tailwind Lane
Mattaponi, VA 23110-2103

Mailing address

621 Carnegie Dr
Ste 210
San Bernardino, CA 92408-3536
Phone (888) 636-4438

Other identifiers 1

IdentifierTypeStateIssuer
1902181720MedicaidVA

Other names 1

  • VCU LifeEvac 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 5

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": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1902181720",
    "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": "888-636-4438",
            "fax_number": "402-952-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 TAILWIND LANE",
            "city": "MATTAPONI",
            "state": "VA",
            "postal_code": "231102103",
            "telephone_number": "888-636-4438",
            "fax_number": "402-952-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AIR METHODS CORPORATION",
        "enumeration_date": "2011-10-12",
        "last_updated": "2015-02-09",
        "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": "VA",
            "license": "1186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902181720",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCU LifeEvac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattaponi, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.