# ROCKY MOUNTAIN BRAIN INJURY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROCKY MOUNTAIN HEALTH CARE SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194031575
- **Legal business name:** ROCKY MOUNTAIN HEALTH CARE SERVICES
- **Authorized official:** TRACY MADIGAN (ACOUNTANT)
- **Authorized official phone:** (719) 623-1148

## Contact information

- **Practice address:** 1420 E FOUNTAIN BLVD, COLORADO SPRINGS, CO 80910-3502
- **Practice address phone:** (719) 457-0660
- **Practice address fax:** (719) 314-0149
- **Mailing address:** 2812 E BIJOU ST, COLORADO SPRINGS, CO 80909-6339
- **Mailing address phone:** (719) 457-0660
- **Mailing address fax:** (719) 314-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2010
- **Last updated:** 08/24/2010
