Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1023247624 |
| LBN Legal business name | RED ROCK FAMILY PRACTICE, INC |
| Authorized official | JENIFER GRIMM - (BILLING DEPARTMENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/06/2009 |
| Last updated | 12/29/2017 - About 8 years ago |
| Identifiers | n/a |
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