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Organization
CRITICAL CARE SERVICES, INC
Active
Organization
CRITICAL CARE SERVICES, INC
Active
Other names
LIFE LINK III
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M KNIPPING (CFO)
(612) 638-4900
Entity
Organization
Contact information
Practice address
4188 LEXINGTON AVENUE N, SHOREVIEW, MN 55126
(612) 638-4900
(612) 638-4906
Mailing address
3673 LEXINGTON AVE N, SUITE H-2, BOX 402, ARDEN HILLS, MN 55126
(612) 638-4900
(612) 638-4906
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
Primary
0360
MN
3416A0800X
Air Ambulance
—
NULL
3416L0300X
Land Ambulance
0357
MN
3416L0300X
Land Ambulance
0359
MN
3416L0300X
Land Ambulance
6011349
WI
343900000X
Non-emergency Medical Transport (VAN)
324262
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058135
—
ND
05
—
0976886
—
IA
01
—
1017905
PREFERRED ONE
MN
01
—
104114
SOUTH CTRY HLTH ALLIANCE
MN
01
—
3G786LI
BCBS OF MINNESOTA
MN
05
—
41316800
—
WI
05
—
41436600
—
WI
05
—
41518013/00
—
NE
05
—
625767400
—
MN
01
—
81-20880
MEDICA
MN
05
—
9010190
—
SD
05
—
9020320
—
SD
Enumeration date
07/07/2005
Last updated
04/29/2024
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