ROCKY MOUNTAIN HOLDINGS LLC (NPI# 1861778052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861778052 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN HOLDINGS LLC |
| Practice Address |
Bldg 2485, Jecelin St Fort Benning GA 31905 |
| Mailing Address |
621 Carnegie Dr Ste 210 San Bernardino CA 92408-3536 |
| Practice Telephone | 9099152303 |
| Practice Fax Number | 4029522411 |
| Mailing Telephone | 9099152303 |
| Mailing Fax Number | 4029522411 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| Authorized Official Name | MARK KEENE (VP OF PATIENT BUSINESS SERVICES) |
| Authorized Official Telephone | 9099152301 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROCKY MOUNTAIN HOLDINGS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
29512 | GA | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124467790 | Rocky Mountain Holdings LLC | Ambulance | 1940 International Way, Idaho Falls, ID 83402 | 2013-06-17 |
| 1831536614 | Rocky Mountain Holdings LLC | Ambulance | 23301 Airport Rd, Petersburg, VA 23803-6727 | 2013-06-03 |
| 1558706382 | Rocky Mountain Holdings LLC | Ambulance | 1348 Wendell Ford Terminal Rd, Chavies, KY 41727-8692 | 2013-05-07 |
| 1689912875 | Rocky Mountain Holdings LLC | Ambulance | 4025 Lacroix Ct, Rapid City, SD 57703 | 2013-01-22 |
| 1639416985 | Rocky Mountain Holdings LLC | Ambulance | 161 Sagamore St, Somerset, PA 15501-7701 | 2013-01-07 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| 1568716132 | Rocky Mountain Holdings LLC | Ambulance | 109 Airstrip Rd, East Stroudsburg, PA 18301 | 2012-11-05 |
| 1780938324 | Rocky Mountain Holdings LLC | Ambulance | 1809 Aviation Drive, Wilmington, NC 28405-8660 | 2012-11-05 |
| 1740533918 | Rocky Mountain Holdings LLC | Ambulance | 12023 N Highway 99, Seminole, OK 74868-5402 | 2012-10-24 |
| 1013268325 | Rocky Mountain Holdings LLC | Ambulance | 1828 Kitty Hawk Dr, Elizabethtown, KY 42701 | 2012-09-26 |
| Street Address |
BLDG 2485, JECELIN ST |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980650 | Air Evac Ems, Inc. | Ambulance | 125 Promenade Pkwy, Fayetteville, GA 30214-7712 | 2020-01-03 |
| 1912472796 | Air Evac Ems, Inc. | Ambulance | 1116 Morningside Dr, Perry, GA 31069-2906 | 2018-10-09 |
| 1194247932 | Rocky Mountain Holdings, LLC | Ambulance | 459 John T Lane Rd, Thomson, GA 30824-6739 | 2017-07-13 |
| 1184162943 | Air Evac Ems, Inc. | Ambulance | 131 Britt Waters Rd Nw, Milledgeville, GA 31061-9664 | 2017-02-01 |
| 1730622838 | Air Evac Ems, Inc. | Ambulance | 304 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-11-22 |
| 1194061036 | Med-trans Corporation | Ambulance | 1510 Hangar Rd, Suite A, Augusta, GA 30906-9624 | 2012-12-21 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1063785871 | Rocky Mountain Holdings LLC | Ambulance | 1728 Airport Dr, Ball Ground, GA 30107 | 2012-02-10 |
| 1285919167 | Rocky Mountain Holdings LLC | Ambulance | 1775 Highland Ave, Augusta, GA 30904 | 2011-10-11 |
| 1558646430 | Rocky Mountain Holdings LLC | Ambulance | 1723 Mccollum Pkwy Nw Hngr 924, Kennesaw, GA 30144 | 2011-10-11 |
| Find all providers with the same taxonomy | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.