Rocky Mountain Rogues, Inc.
Organization Active NPI Meals Provider · Alpine, WY
NPI 1992309579 · NPPES record last updated Nov 24, 2020
Key facts
- NPI
- 1992309579
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Meals Provider 174200000X
- Legal business name
- ROCKY MOUNTAIN ROGUES, INC.
- Practice address
- 91 US Highway 89
Alpine, WY 83128 - Phone
- (307) 654-7593
- Fax
- (307) 654-7494
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
Authorized official
- Name
- Ms. Juline Christofferson
- Title
- President
- Phone
- (307) 654-7594
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | Yes |
Addresses
Primary practice location
91 US Highway 89
Alpine, WY 83128
Mailing address
PO Box 3447
Alpine, WY 83128-0447
Phone (307) 654-7593
Other names
- Bull Moose Lodge
Other providers in Alpine, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.