CRITICAL CARE SERVICES, INC

Provider Demographics

• NPI: 1518964337
• Name: CRITICAL CARE SERVICES, INC
• Entity Type: Organization
• Organization Name: CRITICAL CARE SERVICES, INC
• Other - Org Name: LIFE LINK III
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: CFO
• Authorized Official - First Name: LISA
• Authorized Official - Middle Name: M
• Authorized Official - Last Name: KNIPPING
• Authorized Official - Phone: 612-638-4900
• Mailing Address - Street 1: 3673 LEXINGTON AVE N
• Mailing Address - Street 2: SUITE H-2, BOX 402
• Mailing Address - City: ARDEN HILLS
• Mailing Address - State: MN
• Mailing Address - Zip Code: 55126
• Mailing Address - Country: US
• Mailing Address - Phone: 612-638-4900
• Mailing Address - Fax: 612-638-4906
• Practice Address - Street 1: 4188 LEXINGTON AVENUE N
• Practice Address - City: SHOREVIEW
• Practice Address - State: MN
• Practice Address - Zip Code: 55126
• Practice Address - Country: US
• Practice Address - Phone: 612-638-4900
• Practice Address - Fax: 612-638-4906
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-07-07
• Last Update Date: 2024-04-29

Provider Licenses

State	License ID	Taxonomies
MN	0360	3416A0800X
		3416A0800X
MN	0359	3416L0300X
WI	6011349	3416L0300X
MN	0357	3416L0300X
MN	324262	343900000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3416A0800X	Transportation Services	Ambulance	Air Transport
No	3416L0300X	Transportation Services	Ambulance	Land Transport
No	343900000X	Transportation Services	Non-emergency Medical Transport (VAN)

Provider Identifiers

State	Identifier ID	ID Type	Issuer
MN	1017905	Other	PREFERRED ONE
ND	058135	Medicaid
NE	41518013/00	Medicaid
SD	9010190	Medicaid
MN	81-20880	Other	MEDICA
MN	104114	Other	SOUTH CTRY HLTH ALLIANCE
MN	104114	Other	UCARE OF MINNESOTA
WI	41436600	Medicaid
IA	0976886	Medicaid
MN	3G786LI	Other	BCBS OF MINNESOTA
MN	625767400	Medicaid
SD	9020320	Medicaid
WI	41316800	Medicaid
SD	99800	Medicare ID - Type Unspecified	SOUTH DAKOTA MEDICARE
IA	0976886	Medicaid
MN	P00073927	Medicare ID - Type Unspecified	RAILROAD MEDICARE MN
WI	41436600	Medicaid