Provider Demographics
NPI:1174850655
Name:CRITICARE
Entity Type:Organization
Organization Name:CRITICARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR / CRITICAL CARE PARAMEDIC
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CCEMT-P/FP-C
Authorized Official - Phone:405-269-3631
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:PERKINS
Mailing Address - State:OK
Mailing Address - Zip Code:74059-0466
Mailing Address - Country:US
Mailing Address - Phone:405-269-2988
Mailing Address - Fax:
Practice Address - Street 1:8202 E 116TH ST
Practice Address - Street 2:
Practice Address - City:PERKINS
Practice Address - State:OK
Practice Address - Zip Code:74059-3738
Practice Address - Country:US
Practice Address - Phone:405-269-2988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport