ROCKY MOUNTAIN HOLDINGS LLC NPI 1164911749

NPI Information

NPI: 1164911749
Provider Name: ROCKY MOUNTAIN HOLDINGS, LLC

Doing Business As: LIFENET OF NEW YORK

Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
199 RIVER STREET
SIDNEY, NY
ZIP 13838
Phone: (607) 563-8116
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ROCKY MOUNTAIN HOLDINGS, LLC is an air transport ambulance in Sidney, NY. ROCKY MOUNTAIN HOLDINGS, LLC NPI is 1164911749. The provider is registered as an organization entity type.
The provider Is Doing Business As Lifenet Of New York.

The provider's business location address is:

199 RIVER STREET
SIDNEY, NY
ZIP 13838-056
Phone: (607) 563-8116

The provider's authorized official is Sharon J Keck .
The authorized official title is Assistant Secretary and has the following contact phone number (303) 792-7400.

The CLIA number assigned to this NPI record is 33D2101502 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2018 and was last updated on 5/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport	34597	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01653745	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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