Provider Demographics
NPI:1972826840
Name:RED ROCK HEARING LLC
Entity Type:Organization
Organization Name:RED ROCK HEARING LLC
Other - Org Name:SEDONA HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIONNA
Authorized Official - Middle Name:ERIN
Authorized Official - Last Name:PROW
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:602-616-2704
Mailing Address - Street 1:210 SUNSET DR STE C
Mailing Address - Street 2:
Mailing Address - City:SEDONA
Mailing Address - State:AZ
Mailing Address - Zip Code:86336-5406
Mailing Address - Country:US
Mailing Address - Phone:928-282-6510
Mailing Address - Fax:928-282-6515
Practice Address - Street 1:210 SUNSET DR STE C
Practice Address - Street 2:
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86336-5406
Practice Address - Country:US
Practice Address - Phone:928-282-6510
Practice Address - Fax:928-282-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBHAD7653261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech