Provider Demographics
NPI:1184088056
Name:RED ROCK MOBILECARE, LLC
Entity type:Organization
Organization Name:RED ROCK MOBILECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:RING
Authorized Official - Suffix:II
Authorized Official - Credentials:DO
Authorized Official - Phone:928-200-2928
Mailing Address - Street 1:1035 E THORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GLOBE
Mailing Address - State:AZ
Mailing Address - Zip Code:85501-2424
Mailing Address - Country:US
Mailing Address - Phone:928-200-2928
Mailing Address - Fax:928-425-8495
Practice Address - Street 1:1035 E THORNWOOD DR
Practice Address - Street 2:
Practice Address - City:GLOBE
Practice Address - State:AZ
Practice Address - Zip Code:85501-2424
Practice Address - Country:US
Practice Address - Phone:928-200-2928
Practice Address - Fax:928-425-8495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4529207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty