| Rocky Mountain Brain Injury Services, Llc | |
|
1420 E Fountain Blvd Colorado Springs CO 80910-3502 | |
| (719) 457-0660 | |
| (719) 314-0149 |
| Full Name | Rocky Mountain Brain Injury Services, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 1420 E Fountain Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tracy Madigan (ACOUNTANT) |
| Authorized Official Contact | 7196231148 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Brain Injury Services, Llc 2812 E Bijou St Colorado Springs CO 80909-6339 Ph: (719) 457-0660 | Rocky Mountain Brain Injury Services, Llc 1420 E Fountain Blvd Colorado Springs CO 80910-3502 Ph: (719) 457-0660 |
| NPI Number | 1194031575 |
|---|---|
| Provider Enumeration Date | 08/24/2010 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194031575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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