Provider Demographics
NPI:1891711297
Name:CRITICAL CARE TRANSFER, INC
Entity Type:Organization
Organization Name:CRITICAL CARE TRANSFER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-353-4145
Mailing Address - Street 1:PO BOX 1063
Mailing Address - Street 2:
Mailing Address - City:ULYSSES
Mailing Address - State:KS
Mailing Address - Zip Code:67880-1063
Mailing Address - Country:US
Mailing Address - Phone:620-353-4145
Mailing Address - Fax:
Practice Address - Street 1:925 N WILSON ST
Practice Address - Street 2:
Practice Address - City:ULYSSES
Practice Address - State:KS
Practice Address - Zip Code:67880-1655
Practice Address - Country:US
Practice Address - Phone:620-353-4145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4653416A0800X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered3416A0800XTransportation ServicesAmbulanceAir Transport
Not Answered3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS112031OtherBLUE CROSS BLUE SHIELD
KSP00001056OtherRAILROAD MEDICARE
KS112031OtherBLUE CROSS BLUE SHIELD