Todd K Mcallister, CRNA | |
701 Lewiston St, Cottonwood, ID 83522-9750 | |
(208) 962-3267 | |
Not Available |
Full Name | Todd K Mcallister |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 701 Lewiston St, Cottonwood, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164652319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 3495/616419 (California) | Primary |
Entity Name | Orohealth Corporation A Non Profit Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
Entity Name | Siskiyou Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093892275 PECOS PAC ID: 1254223134 Enrollment ID: O20040927000311 |
Entity Name | Cep America - Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
Mailing Address | Practice Location Address |
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Todd K Mcallister, CRNA Po Box 310, Grangeville, ID 83530-0310 Ph: (530) 864-3322 | Todd K Mcallister, CRNA 701 Lewiston St, Cottonwood, ID 83522-9750 Ph: (208) 962-3267 |
Kevin Lienesch, DNP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 | |
Mr. Dennis W Tracy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 Lewiston St, Cottonwood, ID 83522 Phone: 208-962-3251 Fax: 208-962-3722 |