Healthcare Provider Details

I. General information

NPI: 1235431339
Provider Name (Legal Business Name): ROCKY MOUNTAIN C.A.R.E.S. NETWORK INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2010
Last Update Date: 11/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4545 E 9TH AVE STE 120
DENVER CO
80220-3902
US

IV. Provider business mailing address

4545 E 9TH AVE STE 120
DENVER CO
80220-3902
US

V. Phone/Fax

Practice location:
  • Phone: 303-393-8050
  • Fax: 303-320-1952
Mailing address:
  • Phone: 303-393-8050
  • Fax: 303-320-1952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROLINE EISENBERG
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 303-393-8050