ALPINE DERMATOLOGY CLINIC P.C.
NPI 1588802391
Clinic/Center - Medical Specialty in Rexburg, ID
About Alpine Dermatology Clinic P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALPINE DERMATOLOGY CLINIC P.C. (NPI 1588802391) is a healthcare organization registered as a medical specialty in Rexburg, Idaho and active in the NPI registry since February 2009. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Daniel R Marshall, Owner, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 13D1096028
Alpine Dermatology Clinic · Rexburg, IDCertificate for Provider-Performed Microscopy Procedures (PPMP) 13D2212803
Alpine Dermatology Clinic PC · Driggs, IDCertificate of Compliance 13D2068472
Alpine Dermatology Clinic PC · Idaho Falls, IDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Alpine Dermatology Clinic P.C.'s NPI number?
The NPI number for Alpine Dermatology Clinic P.C. is 1588802391. It was assigned to this organization in the NPPES registry on February 2, 2009.
Where is Alpine Dermatology Clinic P.C. located?
Alpine Dermatology Clinic P.C. is located at 1049 Summers Dr, Rexburg, ID 83440. The listed phone number is (208) 359-4841.
What is Alpine Dermatology Clinic P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Does Alpine Dermatology Clinic P.C. hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Alpine Dermatology Clinic P.C. accept?
Health plans from Moda Health Plan, Inc. and University of Utah Health Plans list Alpine Dermatology Clinic P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Alpine Dermatology Clinic P.C. was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Alpine Dermatology Clinic P.c. · NPI 1588802391
Medical Specialty organization in Rexburg, Idaho. Organization record, active in the CMS NPPES registry since February 2, 2009.
## Identity
- **NPI:** 1588802391 (Entity type: Organization)
- **Enumerated:** February 2, 2009
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Daniel Marshall, OWNER, CEO
## Practice location
- **Address:** 1049 SUMMERS DR, Rexburg, ID 83440-5335
- **Phone:** (208) 359-4841
## Record status
- **NPPES last updated:** April 5, 2019
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1588802391) · Data from the CMS NPPES public registry.