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NPI Code Detail

MEDICARE: ROCKY MOUNTAIN HOLDINGS, LLC

MEDICARE: ROCKY MOUNTAIN HOLDINGS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416A0800XAir Ambulance7001KY

General Provider Information

NPI Number : 1396065975
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY MOUNTAIN HOLDINGS, LLC
Provider Business Mailing Address
First Line : PO BOX 713362
Second Line :
City : CINCINNATI
State : OH
Zip : 45271-3536
Country : US
Telephone Number : 888-636-4438
Fax Number :
Provider Business Practice Location Address
First Line : 2720 CANNONS LN HNGR 7
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3286
Country : US
Telephone Number : 888-636-4438
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : CHRISTOPHER J BRADY
Credential :
Telephone Number : 888-636-4438
Provider Enumeration Date : 06/07/2010
Last Update Date : 12/03/2025

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