Provider Demographics
NPI:1972735058
Name:ROCKY MOUNTAIN EMS INC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN EMS INC
Other - Org Name:ROCKY MOUNTAIN EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER - CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GOETZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-385-0200
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-8413
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:5055 MARK DABLING BLVD.
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918
Practice Address - Country:US
Practice Address - Phone:719-362-8000
Practice Address - Fax:270-744-8642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-21
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO23722754Medicaid