JARED WILLIAM RICKABAUGH

MOUNTAIN VIEW HOSPITAL LLC

Dr JARED WILLIAM RICKABAUGH is a male medical professional, specializing in Nurse Practitioner. He graduated in 2018.

Contact

MOUNTAIN VIEW HOSPITAL LLC

2375 E SUNNYSIDE RD
IDAHO FALLS
ID
834048280

Tel: 2085572700

JARED WILLIAM RICKABAUGH Information

Npi 1649753740
Pac Id 6002153285
Professional Enrollment Id I20190125001060
Last Name RICKABAUGH
First Name JARED
Middle Name WILLIAM
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MOUNTAIN VIEW HOSPITAL LLC
Group Practice Pac Id 4486562774
Number Of Group Practice Members 110
Line 1 Street Address 2375 E SUNNYSIDE RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834048280
Phone Number 2085572700
Hospital Affiliation Ccn 1 130065
Hospital Affiliation Lbn 1 MOUNTAIN VIEW HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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