NPI 1407430937

Rocky Mountain Behavioral Health

Organisation Exclusive Provider Organization Canon City, CO

Practice location

Address: 3239 Independence Rd, Canon City, CO 81212-9380
Phone: (719) 275-7650
Fax: (719) 275-4209

Authorised official

Name: Lois R Petersen-Kelley
Title: Business Manager
Phone: (719) 275-7650

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1407430937
Entity type: Organization
NPI issued: 11 May 2021
Record last updated: 11 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.