Organization Name: | CRITICAL CARE SYSTEMS, INC |
NPI Number: | 1629077037 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLIFF BERMAN (SECRETARY) |
Mailing Address: | 3700 Vanguard Dr Suite D Ft Wayne |
State: | IN US |
Postal Code: | 468093306 |
Phone Number: | 2607470552 |
Fax Number: | 2607472126 |
NPI Enumeration Date: | 07/18/2005 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 60005837A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |