Provider Demographics
NPI:1235431339
Name:ROCKY MOUNTAIN C.A.R.E.S. NETWORK INC.
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN C.A.R.E.S. NETWORK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-393-8050
Mailing Address - Street 1:4545 E 9TH AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3902
Mailing Address - Country:US
Mailing Address - Phone:303-393-8050
Mailing Address - Fax:303-320-1952
Practice Address - Street 1:4545 E 9TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3902
Practice Address - Country:US
Practice Address - Phone:303-393-8050
Practice Address - Fax:303-320-1952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty