MEDICARE: ROCKY MOUNTAIN C.A.R.E.S. NETWORK INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0200X	Infectious Disease Physician

General Provider Information

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

Provider Business Mailing Address
First Line	:	4545 E 9TH AVE STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3902
Country	:	US
Telephone Number	:	303-393-8050
Fax Number	:	303-320-1952

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE STE 120
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3902
Country	:	US
Telephone Number	:	303-393-8050
Fax Number	:	303-320-1952

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MS. CAROLINE EISENBERG
Credential	:
Telephone Number	:	303-393-8050

Provider Enumeration Date	:	11/22/2010
Last Update Date	:	11/22/2010

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