James Alan Mach Jr, | |
4572 County Road 61, Moose Lake, MN 55767-9401 | |
(218) 485-4481 | |
Not Available |
Full Name | James Alan Mach Jr |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4572 County Road 61, Moose Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1245758234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 116704 (Minnesota) | Primary |
Entity Name | Gateway Family Health Clinic, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
Entity Name | St Lukes Hospital Of Duluth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
Entity Name | Community Memorial Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
Entity Name | Essentia Health Moose Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
Entity Name | Northern Lakes Surgery Center Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1649922485 PECOS PAC ID: 1850757311 Enrollment ID: O20230525002232 |
Mailing Address | Practice Location Address |
---|---|
James Alan Mach Jr, 40668 Lakeland Rd, Sturgeon Lake, MN 55783-3868 Ph: (218) 251-8272 | James Alan Mach Jr, 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481 |
Jeffrey Allen Schneider, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 710 S Kenwood Ave, Moose Lake, MN 55767 Phone: 218-485-4481 Fax: 218-485-5665 |