| Andrew J Humes, | |
|
715 Delmore Dr, Roseau, MN 56751-1534 | |
| (218) 463-2500 | |
| Not Available |
| Full Name | Andrew J Humes |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 715 Delmore Dr, Roseau, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699260117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2214 (Minnesota) | Primary |
| Entity Name | Lakewood Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972799237 PECOS PAC ID: 5698687929 Enrollment ID: O20031104000469 |
| Entity Name | Lifecare Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20061104000664 |
| Entity Name | Lakewood Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1922072776 PECOS PAC ID: 5698687929 Enrollment ID: O20080118000179 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew J Humes, 602 3rd St Ne, Roseau, MN 56751-1202 Ph: (517) 490-1428 | Andrew J Humes, 715 Delmore Dr, Roseau, MN 56751-1534 Ph: (218) 463-2500 |