Provider Demographics
NPI:1922332956
Name:MOUNTAIN AIR, LLC
Entity Type:Organization
Organization Name:MOUNTAIN AIR, LLC
Other - Org Name:MOUNTAIN AIR HOME HEALTH AND HOSPICE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-484-6407
Mailing Address - Street 1:1260 DOCTORS LANE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524
Mailing Address - Country:US
Mailing Address - Phone:970-484-6407
Mailing Address - Fax:970-484-1269
Practice Address - Street 1:1260 DOCTORS LANE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524
Practice Address - Country:US
Practice Address - Phone:970-484-6407
Practice Address - Fax:970-484-1269
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOUNTAIN AIR, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-23
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO72129743Medicaid