Hailey Anne Clark (NPI# 1487125969, PAC ID# 8921348129) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1487125969 |
| PAC ID by PECOS | 8921348129 |
| Professional Enrollment ID | I20190326002408 |
| Full Name | Hailey Anne Clark |
| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Address |
167 E 1st Rigby ID 83442-1401 |
| Phone Number | 2087458747 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486562774 |
| Number of Group Practice Members | 111 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130065 | MOUNTAIN VIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 167 E 1st, Rigby, ID 83442-1401 | 2087458747 | MOUNTAIN VIEW HOSPITAL LLC |
| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina Scoggins | Osteopathic Manipulative Medicine | Mountain View Hospital LLC | 2725 Channing Way, Idaho Falls, ID 83404-7510 |
| Richard Willis Runyan | Pain Management | Mountain View Hospital LLC | 3385 Potomac Way, Idaho Falls, ID 83404-4978 |
| Andrew D Cooper | Physical Medicine and Rehabilitation | Mountain View Hospital LLC | 3614 Washington Pkwy, Idaho Falls, ID 83404-7573 |
| Amanda N Thompson | Nurse Practitioner | Mountain View Hospital LLC | 2680 Channing Way, Idaho Falls, ID 83404-7517 |
| Stephanie L Sander | Physician Assistant | Mountain View Hospital LLC | 1550 Hoopes Ave, Idaho Falls, ID 83404-5799 |
| Matthew Ivie | Physician Assistant | Mountain View Hospital LLC | 2325 Coronado St, Idaho Falls, ID 83404-7407 |
| Daric J Russell | Pain Management | Mountain View Hospital LLC | 1425 Pkwy Dr, Blackfoot, ID 83221-1667 |
| Patricia Stadler | Nurse Practitioner | Mountain View Hospital LLC | 167 E 1st, Rigby, ID 83442-1401 |
| Bryce Campbell | Nurse Practitioner | Mountain View Hospital LLC | 2730 Channing Way, Idaho Falls, ID 83404-5049 |
| Timothy E Snell | Interventional Pain Management | Mountain View Hospital LLC | 1950 E Clark St, Suite 110, Pocatello, ID 83201-3315 |
| Street Address |
167 E 1ST |
| City | RIGBY |
| State | ID |
| Zip | 83442-1401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Stadler | Nurse Practitioner | Mountain View Hospital LLC | 167 E 1st, Rigby, ID 83442-1401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight R Hansen | Optometry | 225 W Main St, Rigby, ID 83442-1351 | |
| Tracy E Mobley | Physical Therapy | Mobley Physical Therapy PC | 151 E Main St, Rigby, ID 83442-1417 |
| Carl A Johnson | Physical Therapy | Mobley Physical Therapy PC | 151 E Main St, Rigby, ID 83442-1417 |
| Mitch L Jephson | Chiropractic | 119 N State St, Suite 2, Rigby, ID 83442-1423 | |
| Kurt E Kracaw | Family Practice | 426 Farnsworth Way, Suite 1, Rigby, ID 83442-4713 | |
| Brent Clayson | Qualified Audiologist | 527 Rigby Lake Dr, Suite C, Rigby, ID 83442-5117 | |
| Kay Bishop | Dermatology | Dermatology of Eastern Idaho Pa | 703 Rigby Lake Dr, Rigby, ID 83442-5192 |
| Ryan Black | Physician Assistant | Dermatology of Eastern Idaho Pa | 703 Rigby Lake Dr, Rigby, ID 83442-5192 |
| Adam R Blakeman | Physician Assistant | Upper Valley Family Medicine Pllc | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5230 |
| William D Adams | Family Medicine | Upper Valley Family Medicine Pllc | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5230 |
| Find all physicians in zip 83442 | |||
| City | RIGBY |
| Zip Code | 83442 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | RIGBY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Hailey Anne Clark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.