Provider Demographics
NPI:1932688637
Name:ROCKY MOUNTAIN HEALTHCARE ADVOCATES INC.
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN HEALTHCARE ADVOCATES INC.
Other - Org Name:ASPEN MEDICAL CASE MANAGEMENT LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:FOUNDER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHOSSOW
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:307-333-6656
Mailing Address - Street 1:PO BOX 673
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82602-0673
Mailing Address - Country:US
Mailing Address - Phone:307-333-6656
Mailing Address - Fax:307-333-6657
Practice Address - Street 1:800 WERNER CT STE 261
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1324
Practice Address - Country:US
Practice Address - Phone:307-333-6656
Practice Address - Fax:307-333-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY21792251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1275830044Medicaid