# AMERICAN CRITICAL CARE SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043286628
- **Authorized official:** MRS. CAROLYN WHITLEY MCCROCKLIN RN,BSN (PRESIDENT)
- **Authorized official phone:** (804) 320-1113

## Contact information

- **Practice address:** 221 RUTHERS RD, SUITE 103, RICHMOND, VA 23235-5395
- **Practice address phone:** (804) 320-1113
- **Practice address fax:** (804) 330-9460
- **Mailing address:** 221 RUTHERS RD, P.O. BOX 35717, SUITE 103, RICHMOND, VA 23235-5395
- **Mailing address phone:** (804) 320-1113
- **Mailing address fax:** (804) 330-9460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1088658 | VA | Yes |

## Other

- **Enumeration date:** 02/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 037118 | ANTHEM BLUE CROSS | VA |
