RED ROCK MEDICAL SUPPLY LLC NPI 1619526811

NPI Information

NPI: 1619526811
Provider Name: RED ROCK MEDICAL SUPPLY LLC

Doing Business As: RED ROCK MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1763 W MARCON LN STE 150
MERIDIAN, ID
ZIP 83642
Phone: (801) 886-9700
Get Directions

RED ROCK MEDICAL SUPPLY LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Meridian, ID. RED ROCK MEDICAL SUPPLY LLC NPI is 1619526811. The provider is registered as an organization entity type.
The provider Is Doing Business As Red Rock Medical Supply.

The provider's business location address is:

1763 W MARCON LN STE 150
MERIDIAN, ID
ZIP 83642-202
Phone: (801) 886-9700
Fax: (801) 415-9423

The provider's authorized official is Michelle Liskey .
The authorized official title is Director Of Operations and has the following contact phone number (801) 886-9700.

The enumeration date for this NPI number is 9/10/2019 and was last updated on 8/11/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1396018545	MEDICAID	UTAH

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: 4/28/2024

NPI Synchronization or Removal

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