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RED ROCK PODIATRY P.C. NPI 1902070386


NPI Information

NPI: 1902070386
Provider Name: RED ROCK PODIATRY, P.C.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1280 N MILDRED RD STE 1
CORTEZ, CO
ZIP 81321
Phone: (970) 565-8336
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RED ROCK PODIATRY, P.C. is a durable medical equipment medical supplies in Cortez, CO. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. RED ROCK PODIATRY, P.C. NPI is 1902070386. The provider is registered as an organization entity type.

The provider's business location address is:

1280 N MILDRED RD STE 1
CORTEZ, CO
ZIP 81321-212
Phone: (970) 565-8336
Fax: (970) 565-3134

The provider's authorized official is Terry R Cook .
The authorized official title is Physician And Owner and has the following contact phone number (970) 565-8336.

The enumeration date for this NPI number is 4/16/2008 and was last updated on 9/12/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment540COLORADONo
2213ES0103XPodiatristFoot & Ankle Surgery540COLORADONo
3261QP1100XClinic/CenterPodiatricNo
4332B00000XDurable Medical Equipment & Medical Supplies540COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11272920002MEDICARE NSCCOLORADO
204023719MEDICAIDCOLORADO
3U66304MEDICARE UPINCOLORADO
4529273291011MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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