LIFENET OF NEW YORK
NPI 1801385596
Ambulance - Air Transport in Fultonville, NY

Active since May 08, 2018CLIA 33D2101492 · Waiver
3966 STATE HIGHWAY 30A, FULTONVILLE, NY 12072(518) 922-8990 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 12, 2018, May 8, 2018 (2 updates tracked since 2018).

About Lifenet Of New York NPPES

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

LIFENET OF NEW YORK (NPI 1801385596) is a healthcare organization registered as an air transport in Fultonville, New York and active in the NPI registry since May 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Sharon J Keck, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1801385596
Entity TypeOrganization
Primary Taxonomy3416A0800X
Legal Business NameROCKY MOUNTAIN HOLDINGS, LLC
Location Address3966 STATE HIGHWAY 30AFultonville, NY 12072
Mailing AddressPo Box 713362Cincinnati, OH 45271-3362 · (888) 636-4438
Organization SubpartYesParent: Air Methods Corporation
Authorized OfficialSharon J KeckAssistant Secretary · (303) 792-7400
Enumeration DateMay 8, 2018
Last NPPES UpdateJuly 12, 20182 updates tracked since enumeration
NPI 1801385596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Air TransportTransportation Services
Taxonomy Code3416A0800X
License Licensed in NY · 34597
3966 STATE HIGHWAY 30A, Fultonville, NY 12072

Other Names 1

Doing Business AsLifenet Of New York

Other Identifiers 1

Medicaid01653745NY

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 33D2101492

Lifenet Of New York/Guthrie Air · Johnstown, NY
Active · expires Mar 26, 2027
CLIA Number33D2101492
Laboratory TypeAmbulance
Certificate Effective DateSeptember 3, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Maja L. Lundborg-Gray
Laboratory Phone(518) 922-8990
Laboratory LocationLifenet Of New York/Guthrie Air158 County Highway 153, Johnstown, NY 12095
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Holdings, LLC's NPI number?

The NPI number for Rocky Mountain Holdings, LLC is 1801385596. It was assigned to this organization in the NPPES registry on May 8, 2018. The provider is doing business as Lifenet Of New York.

Where is Rocky Mountain Holdings, LLC located?

Rocky Mountain Holdings, LLC is located at 3966 State Highway 30A, Fultonville, NY 12072. The listed phone number is (518) 922-8990.

What is Rocky Mountain Holdings, LLC's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Air Transport, with taxonomy code 3416A0800X.

Does Rocky Mountain Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2101492) is associated with this NPI, valid through March 26, 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 Holdings, LLC was last updated on July 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.