Provider Demographics
NPI:1609140045
Name:ROCKY MOUNTAIN HYPERBARIC INSTITUTE
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN HYPERBARIC INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:CARUS
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:619-410-5710
Mailing Address - Street 1:225 W SOUTH BOULDER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-1195
Mailing Address - Country:US
Mailing Address - Phone:303-442-4124
Mailing Address - Fax:303-666-2112
Practice Address - Street 1:225 W SOUTH BOULDER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-1195
Practice Address - Country:US
Practice Address - Phone:303-442-4124
Practice Address - Fax:303-666-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-02
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty