Provider Demographics
NPI:1316652431
Name:ROCKY MOUNTAIN INFUSION, LLC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN INFUSION, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFERRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-842-7682
Mailing Address - Street 1:7435 SISTERS GROVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923
Mailing Address - Country:US
Mailing Address - Phone:719-842-7682
Mailing Address - Fax:719-941-7326
Practice Address - Street 1:7435 SISTERS GROVE
Practice Address - Street 2:SUITE 310
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923
Practice Address - Country:US
Practice Address - Phone:719-842-7682
Practice Address - Fax:719-941-7326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy