| David C Boharski, CRNA, FNP | |
|
1411 9th St S, Great Falls, MT 59405-4503 | |
| (406) 454-2171 | |
| Not Available |
| Full Name | David C Boharski |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1411 9th St S, Great Falls, Montana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740283456 | NPI | - | NPPES |
| 4305318 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN24307 (Montana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 24307 (Montana) | Primary |
| Entity Name | St Johns Lutheran Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20040210000931 |
| Entity Name | St Johns Lutheran Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952312050 PECOS PAC ID: 1557255676 Enrollment ID: O20120405000136 |
| Mailing Address | Practice Location Address |
|---|---|
| David C Boharski, CRNA, FNP Po Box 8654, Kalispell, MT 59904-1654 Ph: (406) 270-6240 | David C Boharski, CRNA, FNP 1411 9th St S, Great Falls, MT 59405-4503 Ph: (406) 454-2171 |
Luke Jarvis Jackson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 29th St S, Great Falls, MT 59405 Phone: 409-454-2171 | |
Richard W Willey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1509 29th St S, Great Falls, MT 59405 Phone: 406-771-3500 Fax: 406-771-3502 | |
Mr. Michael A. Mahler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 Fax: 406-731-8318 | |
Jeffrey L. Allen, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-5000 | |
Mrs. Robinette Louise Jankiewicz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St. S., Benefis, Great Falls, MT 59405 Phone: 406-731-8755 | |
Charlie Eliizabeth Campbell Mckinney, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-731-8888 | |
Darrin Lee Dixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 26th St S, Great Falls, MT 59405 Phone: 406-455-4470 Fax: 406-268-0084 |