Healthcare Provider Details
I. General information
NPI: 1164174249
Provider Name (Legal Business Name): ROCKY MOUNTAIN URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/20/2022
Last Update Date: 01/20/2022
Certification Date: 01/20/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
300 S JACKSON ST STE 100
DENVER CO
80209-3183
US
IV. Provider business mailing address
PO BOX 174457
DENVER CO
80217-4457
US
V. Phone/Fax
- Phone: 303-321-0222
- Fax: 303-321-6683
- Phone: 303-945-3299
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TRESA
SWITZER
Title or Position: OPERATIONS CONTROLLER
Credential:
Phone: 303-341-4730