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NPI Code Detail

MEDICARE: ROCKY MOUNTAIN HOLDINGS, LLC

MEDICARE: ROCKY MOUNTAIN HOLDINGS, 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
13416A0800XAir Ambulance

General Provider Information

NPI Number : 1578158747
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKY MOUNTAIN HOLDINGS, LLC
Provider Business Mailing Address
First Line : PO BOX 713362
Second Line :
City : CINCINNATI
State : OH
Zip : 45271-3362
Country : US
Telephone Number : 888-636-4438
Fax Number :
Provider Business Practice Location Address
First Line : 401 E SPRUCE ST
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5679
Country : US
Telephone Number : 888-636-4438
Fax Number :
Authorized Official
Title or Position : SECRETARY
Name : CHRISTOPHER J BRADY
Credential :
Telephone Number : 888-636-4438
Provider Enumeration Date : 03/09/2021
Last Update Date : 12/02/2025

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Directions to “ROCKY MOUNTAIN HOLDINGS, LLC ” Practice Location

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