Provider Demographics
NPI:1982221396
Name:ROCKY MOUNTAIN URGENT CARE, LLC
Entity Type:Organization
Organization Name:ROCKY MOUNTAIN URGENT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:
Authorized Official - First Name:TRESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-341-4730
Mailing Address - Street 1:PO BOX 174457
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-4457
Mailing Address - Country:US
Mailing Address - Phone:303-945-3299
Mailing Address - Fax:303-945-3303
Practice Address - Street 1:4800 BASELINE RD STE D106
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2643
Practice Address - Country:US
Practice Address - Phone:303-499-4800
Practice Address - Fax:303-499-4892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO86583069Medicaid