MEDICARE: CRITICAL CARE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	0357	MN
2	343900000X	Non-emergency Medical Transport (VAN)	324262	MN
3	3416A0800X	Air Ambulance
4	3416L0300X	Land Ambulance	0359	MN
5	3416L0300X	Land Ambulance	6011349	WI
6	3416A0800X	Air Ambulance	0360	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1017905	OTHER	MN	PREFERRED ONE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	81-20880	OTHER	MN	MEDICA
6	104114	OTHER	MN	SOUTH CTRY HLTH ALLIANCE
7	104114	OTHER	MN	UCARE OF MINNESOTA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	3G786LI	OTHER	MN	BCBS OF MINNESOTA
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518964337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRITICAL CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	3673 LEXINGTON AVE N
Second Line	:	SUITE H-2, BOX 402
City	:	ARDEN HILLS
State	:	MN
Zip	:	55126
Country	:	US
Telephone Number	:	612-638-4900
Fax Number	:	612-638-4906

Provider Business Practice Location Address
First Line	:	4188 LEXINGTON AVENUE N
Second Line	:
City	:	SHOREVIEW
State	:	MN
Zip	:	55126
Country	:	US
Telephone Number	:	612-638-4900
Fax Number	:	612-638-4906

Authorized Official
Title or Position	:	CFO
Name	:	LISA M KNIPPING
Credential	:
Telephone Number	:	612-638-4900

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	04/29/2024

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Directions to “CRITICAL CARE SERVICES, INC ” Practice Location

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