ROCKY MOUNTAIN CLINICS LLC
NPI 1295451185
Family Medicine - Addiction Medicine in Pueblo, CO

Active since October 13, 2022CLIA 06D2173384 · Waiver
710 HUNTER DR, PUEBLO, CO 81001(719) 225-8246 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2023, Oct 13, 2022 (2 updates tracked since 2022).

About Rocky Mountain Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROCKY MOUNTAIN CLINICS LLC (NPI 1295451185) is a healthcare organization registered as an addiction medicine in Pueblo, Colorado and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 9, 2027 and lists Sabrina Gibson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1295451185
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameROCKY MOUNTAIN CLINICS LLC
Location Address710 HUNTER DRPueblo, CO 81001-1812
Mailing Address1120 E Elizabeth St Ste G2Fort Collins, CO 80524-4044
Organization SubpartNo
Authorized OfficialSabrina GibsonCfo · (970) 493-9193
Enumeration DateOctober 13, 2022
Last NPPES UpdateMarch 14, 20232 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1295451185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
Also ListedFamily MedicineTaxonomy 207Q00000X
710 HUNTER DR, Pueblo, CO 81001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D2173384

Rocky Mountain Clinic - Pueblo · Pueblo, CO
Active · expires Oct 9, 2027
CLIA Number06D2173384
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorDr. Clark S. Mccoy
Laboratory Phone(719) 225-8246
Laboratory LocationRocky Mountain Clinic - Pueblo710 Hunter Dr, Pueblo, CO 81001
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Addiction Medicine)
710 HUNTER DR
PUEBLO, CO 81001
Counselor (Professional)
710 HUNTER DR
PUEBLO, CO 81001
Family Medicine (Addiction Medicine)
710 HUNTER DR
PUEBLO, CO 81001
Social Worker (Clinical)
710 HUNTER DR
PUEBLO, CO 81001
Nurse Practitioner (Family)
710 HUNTER DR
PUEBLO, CO 81001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rocky Mountain Clinics LLC's NPI number?

The NPI number for Rocky Mountain Clinics LLC is 1295451185. It was assigned to this organization in the NPPES registry on October 13, 2022.

Where is Rocky Mountain Clinics LLC located?

Rocky Mountain Clinics LLC is located at 710 Hunter Dr, Pueblo, CO 81001. The listed phone number is (719) 225-8246.

What is Rocky Mountain Clinics LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Does Rocky Mountain Clinics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2173384) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rocky Mountain Clinics LLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.