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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