MEDICARE: ROCKY MOUNTAIN MOBILE IMAGING, LLC

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	2471N0900X	Nuclear Medicine Technology Radiologic Technologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11-35483-01	OTHER		NRC

General Provider Information

NPI Number	:	1316419088
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKY MOUNTAIN MOBILE IMAGING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 323
Second Line	:
City	:	MCCAMMON
State	:	ID
Zip	:	83250-0323
Country	:	US
Telephone Number	:	208-220-1043
Fax Number	:	307-278-7322

Provider Business Practice Location Address
First Line	:	887 E NORTH ST
Second Line	:
City	:	POWELL
State	:	WY
Zip	:	82435-3045
Country	:	US
Telephone Number	:	208-220-1043
Fax Number	:	307-278-7322

Authorized Official
Title or Position	:	MANAGER
Name	:	SHEMAI JOY AAGARD
Credential	:
Telephone Number	:	208-220-1043

Provider Enumeration Date	:	12/19/2018
Last Update Date	:	12/19/2018

Similar Medicare Providers

1578348090 — RACHEL SHAH
Practice Location Address:

108 WINDSTONE BLVD
POWELL, TN
37849-3045

Practice Phone: 865-321-7892
Practice Fax:

1942413117 — MANDY JO VENABLE RN
Practice Location Address:

1151 LANE 6
POWELL, WY
82435-9717

Practice Phone: 307-202-1137
Practice Fax:

1114923463 — DR. DUNCAN HUGH FRASER D.P.M.
Practice Location Address:

777 AVENUE H
POWELL, WY
82435-2260

Practice Phone: 307-754-9191
Practice Fax: 307-754-1291

1497753115 — POWELL VALLEY HEALTH CARE INC
Practice Location Address:

777 AVENUE H
POWELL, WY
82435

Practice Phone: 307-754-1101
Practice Fax: 307-754-3176

1427050343 — DR. JOSEPH GREG TOLAND O.D.
Practice Location Address:

255 W 3RD ST
POWELL, WY
82435-2321

Practice Phone: 307-754-7151
Practice Fax: 307-754-4261

1053306662 — DR. DEAN WAYNE BARTHOLOMEW MD
Practice Location Address:

250 N EVARTS ST
POWELL, WY
82435-2718

Practice Phone: 307-764-3721
Practice Fax: 307-764-1865

Directions to “ROCKY MOUNTAIN MOBILE IMAGING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.