Healthcare Provider Details

I. General information

NPI: 1295037943
Provider Name (Legal Business Name): ROCKY MOUNTAIN HOSPITALISTS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2010
Last Update Date: 12/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3528 GABEL RD
BILLINGS MT
59102-7307
US

IV. Provider business mailing address

1281 E MAGNOLIA ST SUITE D199
FORT COLLINS CO
80524-4796
US

V. Phone/Fax

Practice location:
  • Phone: 702-453-3799
  • Fax: 702-453-5741
Mailing address:
  • Phone: 702-453-3799
  • Fax: 702-453-5741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number12435
License Number StateMT

VIII. Authorized Official

Name: LORI LABRECQUE
Title or Position: ACCOUNTS MGR
Credential:
Phone: 702-453-3799