Healthcare Provider Details
I. General information
NPI: 1700403136
Provider Name (Legal Business Name): ROCKY MOUNTAIN URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2020
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8500 W COLFAX AVE
LAKEWOOD CO
80215-4011
US
IV. Provider business mailing address
PO BOX 174457
DENVER CO
80217-4457
US
V. Phone/Fax
- Phone: 303-945-3299
- Fax: 303-945-3303
- Phone: 303-945-3299
- Fax: 39-453-3033
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: CORPORATE CONTROLLER
Credential:
Phone: 303-341-4730