Healthcare Provider Details

I. General information

NPI: 1366606709
Provider Name (Legal Business Name): ROCKY VISTA HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 S CHAMBERS RD
ENGLEWOOD CO
80112-3276
US

IV. Provider business mailing address

8401 S CHAMBERS RD
ENGLEWOOD CO
80112-3276
US

V. Phone/Fax

Practice location:
  • Phone: 720-875-2880
  • Fax: 720-875-2877
Mailing address:
  • Phone: 720-875-2880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS MOHR
Title or Position: DIRECTOR
Credential: DO
Phone: 720-875-2880