Organization
AMERICAN CRITICAL CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN WHITLEY MCCROCKLIN RN,BSN (PRESIDENT)
(804) 320-1113
Entity
Organization
Contact information
Practice address
221 RUTHERS RD, SUITE 103, RICHMOND, VA 23235-5395
(804) 320-1113
(804) 330-9460
Mailing address
221 RUTHERS RD, P.O. BOX 35717, SUITE 103, RICHMOND, VA 23235-5395
(804) 320-1113
(804) 330-9460
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1088658
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037118
ANTHEM BLUE CROSS
VA
Enumeration date
02/24/2006
Last updated
08/22/2020
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