MEDICARE: C & M ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609842418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	C & M ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	400 E 10TH ST
Second Line	:
City	:	WACONIA
State	:	MN
Zip	:	55387-4552
Country	:	US
Telephone Number	:	952-442-9770
Fax Number	:	952-442-3630

Provider Business Practice Location Address
First Line	:	1400 EASTSIDE RD
Second Line	:
City	:	PLATTEVILLE
State	:	WI
Zip	:	53818-9800
Country	:	US
Telephone Number	:	608-348-2331
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRUCE BARTELS
Credential	:	CRNA
Telephone Number	:	608-348-2331

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	04/28/2008

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