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CRESTON MEDICAL CLINIC P.C. NPI 1316991607


NPI Information

NPI: 1316991607
Provider Name: CRESTON MEDICAL CLINIC, P.C.

Other Name: CRESTON MEDICAL CLINIC CRNAS

Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
1610 W TOWNLINE ST
SUITE 200
CRESTON, IA
ZIP 50801
Phone: (641) 782-2131
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CRESTON MEDICAL CLINIC, P.C. is a nurse anesthetist certified registered in Creston, IA. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. CRESTON MEDICAL CLINIC, P.C. NPI is 1316991607. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Creston Medical Clinic Crnas.

The provider's business location address is:

1610 W TOWNLINE ST
SUITE 200
CRESTON, IA
ZIP 50801-066
Phone: (641) 782-2131
Fax: (641) 782-6425

The provider's authorized official is James E Mansour .
The authorized official title is President Of The Corporation and has the following contact phone number (641) 782-2131.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1367500000XNurse Anesthetist, Certified RegisteredYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10265793MEDICAIDIOWA
226579OTHERIOWAWELLMARK BCBS CRNA #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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