Provider Demographics
NPI:1750684692
Name:CRITCHFIELD SPECIALTY INFUSION GROUP, LLC
Entity Type:Organization
Organization Name:CRITCHFIELD SPECIALTY INFUSION GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:G
Authorized Official - Last Name:CRITCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-834-0541
Mailing Address - Street 1:PO BOX 30
Mailing Address - Street 2:742 SOUTH MAIN STREET
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-0030
Mailing Address - Country:US
Mailing Address - Phone:724-834-6600
Mailing Address - Fax:724-834-2058
Practice Address - Street 1:742 S MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-4137
Practice Address - Country:US
Practice Address - Phone:724-834-6600
Practice Address - Fax:724-834-2058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion TherapyGroup - Single Specialty