Provider Demographics
NPI:1588019442
Name:CRITCHFIELD SPECIALTY CARE, INC.
Entity Type:Organization
Organization Name:CRITCHFIELD SPECIALTY CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:CRITCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-834-6600
Mailing Address - Street 1:P.O. BOX 30
Mailing Address - Street 2:742 SOUTH MAIN STREET
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-834-6600
Mailing Address - Fax:
Practice Address - Street 1:742 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-834-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management