RED ROCK MEDICAL SUPPLY (NPI# 1396018545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396018545 |
| Entity Type | Organization |
| Organization Name | RED ROCK MEDICAL SUPPLY |
| Practice Address |
1880 N 2200 W Ste 40 Salt Lake City UT 84116-4136 |
| Mailing Address |
450 S 900 E Ste 100 Salt Lake City UT 84102-2981 |
| Practice Telephone | 8018869700 |
| Practice Fax Number | 8014159423 |
| Mailing Telephone | 8018869700 |
| Mailing Fax Number | 8015311949 |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | EDDIE NORRIS (OWNER) |
| Authorized Official Telephone | 8014856166 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1396018545 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1880 N 2200 W Ste 40, Salt Lake City, UT 841164136 | 8018869700 | 8014159423 |
| 1994 E Franklin Rd Ste 120, Meridian, ID 836425975 | 8018869700 | 8014159423 |
| 450 S 900 E, Ste 100, Salt Lake City, UT 841022981 | 8018869700 | 8015311949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619526811 | Red Rock Medical Supply | Durable Medical Equipment & Medical Supplies | 1994 E Franklin Rd Ste 120, Meridian, ID 83642-5975 | 2019-09-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Red Rock Medical Supply, LLC | 450 S 900 E, Suite 100, Salt Lake City, UT 84102 |
| Street Address |
1880 N 2200 W STE 40 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84116-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689281818 | Devery White | Case Manager/Care Coordinator | 195 N 1900 W, Salt Lake City, UT 84116 | 2020-10-01 |
| 1114402377 | Felicia Marie Speer | Community Health Worker | 1303 Sir Phillip Dr, Salt Lake City, UT 84116 | 2018-10-03 |
| 1982144341 | Sharlena Schacht | Pharmacy Technician | 1040 North 2200 West, Salt Lake City, UT 84116 | 2017-03-06 |
| 1316300460 | Riverside Family Dental Care, Inc | Clinic/Center | 1614 W 700 N, Salt Lake City, UT 84116 | 2016-04-05 |
| 1174882856 | Marilyn Ross | Nurse Practitioner | 384 Wright Brothers Dr., Marilyn Ross Bld #2, Salt Lake City, UT 84116 | 2012-05-15 |
| 1720387137 | Lifetime Products Inc. | Durable Medical Equipment & Medical Supplies | 745 N Warm Springs Rd, Salt Lake City, UT 84116 | 2011-03-24 |
| 1811000276 | Kim Coston Christensen | Preventive Medicine | 2150 West 700 North, Kim C. Christensen D.o. Faa Sl/artcc Mfo, Salt Lake City, UT 84116 | 2006-08-17 |
| 1144705583 | Brian Larry Gashler | Family Medicine | 54 N 8th W, Salt Lake City, UT 84116 | 2018-10-02 |
| 1528350972 | Aliesha Shaw | Student in an Organized Health Care Education/Training Program | 26 South 2000 East, 5900, Salt Lake City, UT 84116 | 2011-05-04 |
| 1427035187 | Sarah Lynn Woolsey | Family Medicine | 1365 W 1000 N, Salt Lake City, UT 84116 | 2005-12-23 |
| Find all providers in zip 84116 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984538 | Zillah Juliana Musungu | Durable Medical Equipment & Medical Supplies | 3443 S State St Ste 7, Salt Lake City, UT 84115-4915 | 2019-10-21 |
| 1457913071 | In Home Ergonomics, LLC | Durable Medical Equipment & Medical Supplies | 3080 S State St, Salt Lake City, UT 84115-3834 | 2019-07-03 |
| 1205311453 | Insulet Corporation | Durable Medical Equipment & Medical Supplies | 155 N 400 W Ste 300, Salt Lake City, UT 84103-1132 | 2018-10-03 |
| 1720574130 | Diathrive Inc. | Durable Medical Equipment & Medical Supplies | 3855 S 500 W Ste M, Salt Lake City, UT 84115-4255 | 2018-07-09 |
| 1740777416 | R2 Medical, Inc | Durable Medical Equipment & Medical Supplies | 2136 S Richards St, Salt Lake City, UT 84115-2606 | 2018-04-18 |
| 1326542119 | Kinex Medical Company, LLC | Durable Medical Equipment & Medical Supplies | 850 W 1700 S Ste 4a, Salt Lake City, UT 84104-1743 | 2018-03-19 |
| 1639684772 | Cpm Machines LLC | Durable Medical Equipment & Medical Supplies | 4525 S 2300 E, Salt Lake City, UT 84117-4641 | 2017-12-12 |
| 1649798885 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2378 E Fort Union Blvd, Salt Lake City, UT 84121-3339 | 2017-09-08 |
| 1962925909 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3250 S 700 E, Salt Lake City, UT 84106-1641 | 2017-07-21 |
| 1346794492 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 201 S 1300 E, Ste 101, Salt Lake City, UT 84102-2608 | 2016-08-06 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84116 |
Please comment or provide details below to improve the information on RED ROCK MEDICAL SUPPLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.