| Glenn Lefor, CRNA | |
|
30 7th St W, Dickinson, ND 58601-4335 | |
| (701) 456-4000 | |
| (701) 456-4800 |
| Full Name | Glenn Lefor |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 30 7th St W, Dickinson, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619991973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R31505 (North Dakota) | Primary |
| Entity Name | St. Joseph's Hospital And Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
| Entity Name | West River Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174606271 PECOS PAC ID: 0042127045 Enrollment ID: O20040128001023 |
| Entity Name | West River Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1588763247 PECOS PAC ID: 0042127045 Enrollment ID: O20100909000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn Lefor, CRNA 30 7th St W, Dickinson, ND 58601-4335 Ph: (701) 456-4000 | Glenn Lefor, CRNA 30 7th St W, Dickinson, ND 58601-4335 Ph: (701) 456-4000 |
Arlys Jorda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Mrs. Tammy J Grosulak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Nancy Beck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Susan Stengel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Christian Matthews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 |