Provider Demographics
NPI:1528377736
Name:WASHINGTON CRITICAL CARE ASSOCIATES, LTD
Entity Type:Organization
Organization Name:WASHINGTON CRITICAL CARE ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:M
Authorized Official - Last Name:KOLINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-222-2577
Mailing Address - Street 1:997 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-2819
Mailing Address - Country:US
Mailing Address - Phone:724-222-2577
Mailing Address - Fax:724-228-5849
Practice Address - Street 1:997 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2819
Practice Address - Country:US
Practice Address - Phone:724-222-2577
Practice Address - Fax:724-228-5849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty