Provider Demographics
NPI:1740419613
Name:THE CRITICAL CARE COMPANY PLC
Entity Type:Organization
Organization Name:THE CRITICAL CARE COMPANY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:INAKI
Authorized Official - Last Name:MENDIGUREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-669-5962
Mailing Address - Street 1:PO BOX 376
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:VA
Mailing Address - Zip Code:20197-0376
Mailing Address - Country:US
Mailing Address - Phone:703-669-5962
Mailing Address - Fax:703-669-5963
Practice Address - Street 1:44055 RIVERSIDE PKWY
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-5179
Practice Address - Country:US
Practice Address - Phone:703-669-5962
Practice Address - Fax:703-669-5963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-13
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101044605174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty