Healthcare Provider Details

I. General information

NPI: 1285803437
Provider Name (Legal Business Name): CRITICARE LANCASTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2135 NOLL DR STE A
LANCASTER PA
17603-7602
US

IV. Provider business mailing address

2135 NOLL DR STE A
LANCASTER PA
17603-7602
US

V. Phone/Fax

Practice location:
  • Phone: 717-844-6300
  • Fax:
Mailing address:
  • Phone: 717-844-6300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number03250501
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. KEN SPANG
Title or Position: PRESIDENT
Credential:
Phone: 717-844-6300