| Charles Grant, CRNA | |
|
1000 Health Center Dr, Mattoon, IL 61938-9261 | |
| (217) 258-2525 | |
| (217) 258-4175 |
| Full Name | Charles Grant |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1000 Health Center Dr, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194273540 | NPI | - | NPPES |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403 |
| Entity Name | Memorial Hospital Of Carbon County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710298757 PECOS PAC ID: 9638067176 Enrollment ID: O20100527000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Grant, CRNA 2221 Elm St, Rawlins, WY 82301-5108 Ph: (307) 324-2221 | Charles Grant, CRNA 1000 Health Center Dr, Mattoon, IL 61938-9261 Ph: (217) 258-2525 |
Vincent P Cagungun, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4006 | |
Erin M. Hein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186 | |
Tara L Crews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 | |
Allyson Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2525 | |
Nicholas Halford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186 | |
Ms. Mallory Michelle Light, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186 | |
Marshall Ashby, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 |