RED ROCK MEDICAL SUPPLY (NPI# 1619526811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619526811 |
Entity Type | Organization |
Organization Name | RED ROCK MEDICAL SUPPLY |
Practice Address |
1994 E Franklin Rd Ste 120 Meridian ID 83642-5975 |
Mailing Address |
450 S 900 E Ste 100 Salt Lake City UT 84102-2983 |
Practice Telephone | 8018869700 |
Practice Fax Number | 8014159423 |
Mailing Telephone | 8018869700 |
Mailing Fax Number | 8014159423 |
Enumeration Date | 2019-09-10 |
Last Update Date | 2019-09-10 |
Authorized Official Name | MAIRA LESA (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 8018869700 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 1396018545 | 05 |
Other Name | Type Code |
---|---|
Red Rock Medical Supply | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396018545 | Red Rock Medical Supply | Durable Medical Equipment & Medical Supplies | 1880 N 2200 W Ste 40, Salt Lake City, UT 84116-4136 | 2012-02-20 |
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 |
1994 E FRANKLIN RD STE 120 |
City | MERIDIAN |
State | ID |
Zip Code | 83642-5975 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982844866 | Valley Medical LLC | Durable Medical Equipment & Medical Supplies | 2065 E. Fairview Ave., Meridian, ID 83642-5798 | 2009-03-04 |
1457563652 | Otis D Barrett | Durable Medical Equipment & Medical Supplies | 5077 Birch St, Meridian, MS 39307-9318 | 2007-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639791734 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 1110 W Park Pl Ste 308, Coeur D Alene, ID 83814-2715 | 2020-05-12 |
1851677827 | The Hospice Store and Supplies | Durable Medical Equipment & Medical Supplies | 134 N 3966 E, Address 2, Rigby, ID 83442-5772 | 2011-10-22 |
1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
1639407760 | Cpapnow, Inc. | Durable Medical Equipment & Medical Supplies | 1616 E Plaza Loop, Nampa, ID 83687-4931 | 2009-12-01 |
1326375908 | Braden Partners Lp | Durable Medical Equipment & Medical Supplies | 143 N State St Ste 5, Rigby, ID 83442-4956 | 2009-11-03 |
1740410380 | Sun Valley Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 21 E Maple St Ste B, Hailey, ID 83333-4900 | 2009-07-16 |
1043448400 | Idaho Home Health & Hospice | Durable Medical Equipment & Medical Supplies | 423 Idaho St, Gooding, ID 83330-1258 | 2009-06-24 |
1982879789 | Frontier Leasing Lmtd Par | Durable Medical Equipment & Medical Supplies | 353 N. 4th Avenue, Ste 205, Pocatello, ID 83201-6392 | 2008-04-23 |
1043408560 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 W 3rd St, Unit 2, Moscow, ID 83843-2284 | 2007-10-10 |
1982743746 | Phg Inc. | Durable Medical Equipment & Medical Supplies | 61 E 1st S, Soda Springs, ID 83276-1437 | 2007-02-06 |
Find all providers with the same taxonomy |
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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.