Red Rock Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RED ROCK MEDICAL SUPPLY

Practice address

1880 N 2200 W Ste 40
Salt Lake City, UT 84116-4136

Phone

(801) 886-9700

Fax

(801) 415-9423

NPI assigned

Feb 20, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eddie Norris

Title

Owner

Phone

(801) 485-6166

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1396018545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 S 900 E",
            "address_2": "STE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022981",
            "telephone_number": "801-886-9700",
            "fax_number": "801-531-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N 2200 W STE 40",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164136",
            "telephone_number": "801-886-9700",
            "fax_number": "801-415-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1994 E Franklin Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425975",
            "country_code": "US",
            "telephone_number": "801-886-9700",
            "fax_number": "801-415-9423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S 900 E",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841022981",
            "country_code": "US",
            "telephone_number": "801-886-9700",
            "fax_number": "801-531-1949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED ROCK MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-485-6166"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396018545",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Durable Medical Equipment & Medical Supplies in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.