Healthcare Provider Details

I. General information

NPI: 1992850689
Provider Name (Legal Business Name): ROCKY MOUNTAIN HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 E PIKES PEAK AVE
COLORADO SPRINGS CO
80909-6033
US

IV. Provider business mailing address

8595 EXPLORER DR
COLORADO SPRINGS CO
80920-1012
US

V. Phone/Fax

Practice location:
  • Phone: 719-466-8777
  • Fax: 719-314-0149
Mailing address:
  • Phone: 719-314-2327
  • Fax: 719-314-0149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251T00000X
TaxonomyPACE Provider Organization
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. TRACY MADIGAN
Title or Position: REVENUE MANAGER
Credential:
Phone: 719-466-8777