Organization
CRITICAL CARE AMBULANCE SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA KAY QUINN OWNER (PRESIDENT)
(330) 242-3092
Entity
Organization
Contact information
Practice address
775 W SMITH RD STE 2, MEDINA, OH 44256-3556
(330) 725-1800
Mailing address
1181 RIVER WOODS DR, HINCKLEY, OH 44233-9750
(330) 278-2027
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2626439
—
OH
Enumeration date
10/25/2005
Last updated
08/22/2020
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