Provider Demographics
NPI:1063382554
Name:ROCKY MOUNTAIN HEALTH PARTNERS, PLLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN HEALTH PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-800-0404
Mailing Address - Street 1:1014 W HEMINGWAY BLVD
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-1733
Mailing Address - Country:US
Mailing Address - Phone:208-800-0404
Mailing Address - Fax:208-615-4090
Practice Address - Street 1:1014 W HEMINGWAY BLVD
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-1733
Practice Address - Country:US
Practice Address - Phone:208-800-0404
Practice Address - Fax:208-615-4090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty