ROCKY MOUNTAIN HOLDINGS, LLC (NPI# 1497036156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497036156 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN HOLDINGS, LLC |
| Practice Address |
101 Civic Center Ln Lake Havasu City AZ 86403 |
| Mailing Address |
Po Box 713362 Cincinnati OH 45271-3362 |
| Practice Telephone | 9099152303 |
| Practice Fax Number | 4029522411 |
| Mailing Telephone | 8886364438 |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MICHAEL DENNIS ALLEN (VICE PRESIDENT) |
| Authorized Official Telephone | 8886364438 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROCKY MOUNTAIN HOLDINGS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
17 | AZ | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 80470923 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483981 | Rocky Mountain Holdings, LLC | Ambulance | 8701 Airport Blvd Ste 101, Leesburg, FL 34788-4035 | 2020-09-30 |
| 1174137392 | Rocky Mountain Holdings, LLC | Ambulance | 364 Airport Rd, Sylacauga, AL 35151-4576 | 2020-09-04 |
| 1194338707 | Rocky Mountain Holdings, LLC | Ambulance | 1313 E 32nd St # A, Silver City, NM 88061-7251 | 2020-08-25 |
| 1962010686 | Rocky Mountain Holdings, LLC | Ambulance | 17 Center Hangar Rd, Salmon, ID 83467 | 2020-07-20 |
| 1528676798 | Rocky Mountain Holdings, LLC | Ambulance | 2097 County Road 177, Cusseta, AL 36852-2716 | 2020-07-14 |
| 1841813789 | Rocky Mountain Holdings, LLC | Ambulance | 4765 Airport Rd, Cincinnati, OH 45226-1613 | 2020-05-27 |
| 1164042883 | Rocky Mountain Holdings, LLC | Ambulance | 415 E Washington Ave, # 10, Tucumcari, NM 88401-3812 | 2020-04-22 |
| 1225663297 | Rocky Mountain Holdings, LLC | Ambulance | 1815 Airport Loop, Kerrville, TX 78028-9696 | 2020-03-10 |
| 1780242487 | Rocky Mountain Holdings, LLC | Ambulance | 101 Airport Rd, Route 503 West, Bayville, NJ 08721-2779 | 2019-05-29 |
| 1669037792 | Rocky Mountain Holdings, LLC | Ambulance | 4801 Beckner Rd., Room 3517, Santa Fe, NM 87507-3641 | 2019-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ROCKY MOUNTAIN HOLDINGS, LLC | 8604 Ne 110th Pl, Kirkland, WA 98034-3542 |
| Massachusetts Corporations | ROCKY MOUNTAIN HOLDINGS, LLC | 7301 South Peoria Street, Englewood, CO 80112 |
| Indiana Business Entities | ROCKY MOUNTAIN HOLDINGS, LLC | 7301 South Peoria Street, Englewood, CO 80112 |
| Street Address |
101 CIVIC CENTER LN |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176233 | Pamela B. Reband | Anesthesiology | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2005-06-28 |
| 1659995652 | Alana Stern | Physician Assistant | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2020-06-04 |
| 1245702927 | Michael Barber | Registered Nurse | 101 Civic Center Ln, Lake Havasu City, AZ 86403 | 2018-12-19 |
| 1891276630 | Brian Andrew | Physician Assistant | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2018-08-28 |
| 1497264873 | Pinnacle Radiology Services | Radiology | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2017-09-28 |
| 1821516287 | Jaime Wasik | Nurse Practitioner | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2017-09-06 |
| 1144776055 | Paul Queior | Physician Assistant | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2016-08-30 |
| 1891146957 | Misty Maple | Nurse Practitioner | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2016-06-29 |
| 1316319460 | Sarah Fraser | Specialist/Technologist, Other | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2015-10-28 |
| 1780067280 | Samer Asem Haddad | Internal Medicine | 101 Civic Center Ln, Lake Havasu City, AZ 86403 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952966087 | Rocky Mountain Holdings, LLC | Ambulance | 2755 Silvercreek Road, Bullhead City, AZ 86442-7904 | 2019-05-03 |
| 1588123673 | Guardian Flight LLC | Ambulance | 905 W Airport Rd, Springerville, AZ 85938-5015 | 2019-03-18 |
| 1043779135 | Guardian Flight LLC | Ambulance | 4500 E Aviation Way, Safford, AZ 85546-9479 | 2019-03-18 |
| 1407314784 | Rocky Mountain Holdings, LLC | Ambulance | 5880 Flightline Dr, Kingman, AZ 86401-6842 | 2019-03-06 |
| 1730646852 | Rocky Mountain Holdings, LLC | Ambulance | 3535 S Fortuna Ave, Yuma, AZ 85365-4207 | 2019-02-25 |
| 1114490836 | Ponderosa Aviation, Inc | Ambulance | 4500 Aviation Way, Safford, AZ 85546 | 2019-01-04 |
| 1912486275 | Guardian Flight LLC | Ambulance | 3151 E Airport Loop Ste 1, Show Low, AZ 85901-9583 | 2018-08-08 |
| 1952808230 | Med-trans Corporation | Ambulance | 1215 N Ivy Loop Ste 2, Casa Grande, AZ 85122-5406 | 2018-04-12 |
| 1093232258 | Guardian Flight LLC | Ambulance | Cvs Space 31, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| 1285151506 | Guardian Flight LLC | Ambulance | Cvs Space 32, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.