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Rebecca H Moore

  • Female

Medical Specialty

Professional ID

  • NPI: 1477609089
  • PECOS ID: 9234293556
  • Enrollment ID: I20110128000368
  • Credential(MD, DO, DPM):
  • Medical School: University Of Utah School Of Medicine
  • Medical School Graduation Year: 2003

Hospital Service

  • Hospital CCN1: 460047
  • Business Name (LBN)1: St Marks Hospital
  • Hospital CCN2: 460051
  • Business Name (LBN)2: Jordan Valley Medical Center
  • Hospital CCN3: 460060
  • Business Name (LBN)3: Lone Peak Hospital

Medical Practices

  • Organization Name: St Marks Physician Billing Llc
  • Group Practice ID assigned by PECOS: 6103061072
  • Number of Group Practice member: 7

Location

  • Address1: 1160 E 3900 S
  • Address2: G200
  • City: Salt Lake City
  • State: Utah
  • Zip Code: 84124
  • Phone Number: (801)268-7766

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR): Yes