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Physician Compare National (NPI:1013346634)

HEALTHCARE PROVIDER: ALEC HIGGINS RIMMASCH JR. NP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1013346634
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3577791011
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20140108001489
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RIMMASCH
Individual professional last name
Provider First Name ALEC
Individual professional first name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name NORTHEASTERN UTAH MEDICAL GROUP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 2961496609
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 45
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 475 N 500
Group Practice or individual's line 1 address
City VERNAL
Group Practice or individual's city
State UT
Group Practice or individual's state
Zip Code 840781907
Group Practice or individual's zip code (9 digits when available)
Phone Number 4357812030
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 460019
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 UINTAH BASIN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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