NPI 1700273802

Rocky Mountain Holdings, LLC

Organisation Air Ambulance Hattiesburg, MS

Practice location

Address: 29 Academy Dr, Hattiesburg, MS 39401-7959
Phone: (888) 636-4438
Mailing address: 621 Carnegie Dr STE 210, San Bernardino, CA 92408-3536

Authorised official

Name: Marl Raymond Keene
Title: Senior Vice President
Phone: (909) 915-2301

Registered specialties

Air Ambulance Primary

Transportation Services Taxonomy 3416A0800X Licence 1191 (MS)

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Registry record

NPI: 1700273802
Entity type: Organization
NPI issued: 16 Apr 2015
Record last updated: 16 Apr 2015

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.