Provider Demographics
NPI:1730245374
Name:ROCKY MOUNTAIN HEALTH MGMT CORP
Entity type:Organization
Organization Name:ROCKY MOUNTAIN HEALTH MGMT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR HOME HEALTH
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARUTHERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-244-7777
Mailing Address - Street 1:2777 CROSSROADS BLVD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506
Mailing Address - Country:US
Mailing Address - Phone:970-244-7777
Mailing Address - Fax:970-255-5697
Practice Address - Street 1:2777 CROSSROADS BLVD UNIT 2
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506
Practice Address - Country:US
Practice Address - Phone:970-244-7777
Practice Address - Fax:970-255-5697
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-28
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO041225251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
067259Medicare ID - Type Unspecified