NPI age
6 years
Enumerated 2019-09-10
● Active Type 2 · Organization
Red Rock Medical Supply Llc
Red Rock Medical Supply Llc is 1 of 34 durable medical equipment & medical supplies organizations in Idaho.
Primary specialty
Durable Medical Equipment & Medical Supplies
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Liskey
Director Of Operations
Last NPPES update
2022-08-11
Source: monthly bulk 2026-05
How this organization compares
Across 34 active durable medical equipment & medical supplies providers in Idaho.
NPI age
6 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-09Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1763 W Marcon Ln Ste 150
Meridian, ID 836428202
Mailing address
450 S 900 E Ste 100
Salt Lake City, UT 841022983
Authorized official
Michelle Liskey
Director Of Operations
📞 8018869700
Specialties
-
Durable Medical Equipment & Medical Supplies PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (UT) | 1396018545 |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Red Rock Medical Supply
-
Red Rock Medical Supply
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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