| Clark J Kruta, CRNA | |
|
570 Chautauqua Blvd, Valley City, ND 58072-3145 | |
| (701) 845-6522 | |
| (701) 845-6520 |
| Full Name | Clark J Kruta |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 34 Years |
| Location | 570 Chautauqua Blvd, Valley City, North Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205862273 | NPI | - | NPPES |
| 1454945 | Medicaid | ND | |
| R21653 | Other | ND | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R21653 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Mercy Health | Valley city, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Hospital Of Valley City | 8729997564 | 8 |
| Entity Name | Mercy Hospital Of Valley City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark J Kruta, CRNA 251 4th Ave Nw, Valley City, ND 58072-2931 Ph: (701) 845-9399 | Clark J Kruta, CRNA 570 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6522 |
Craig A Wagamon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 206 8th St Nw, Valley City, ND 58072 Phone: 701-550-9335 | |
Mr. Jeffrey Dale Schultz, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 |