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Organization
RED ROCK MEDICAL SUPPLY LLC
Active
Organization
RED ROCK MEDICAL SUPPLY LLC
Active
Other names
Red Rock Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LISKEY (DIRECTOR OF OPERATIONS)
(801) 886-9700
Entity
Organization
Contact information
Practice address
1763 W MARCON LN STE 150, MERIDIAN, ID 83642-8202
(801) 886-9700
(801) 415-9423
Mailing address
450 S 900 E STE 100, SALT LAKE CITY, UT 84102-2983
(801) 886-9700
(801) 415-9423
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396018545
—
UT
Enumeration date
09/10/2019
Last updated
08/11/2022
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