Provider Demographics
NPI:1942256250
Name:CRITICAL CARE SERVICES, P.C.
Entity Type:Organization
Organization Name:CRITICAL CARE SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISABELLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:KOPEC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-514-6000
Mailing Address - Street 1:ONE CITYPLACE DRIVE
Mailing Address - Street 2:SUITE 570
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7067
Mailing Address - Country:US
Mailing Address - Phone:314-514-6060
Mailing Address - Fax:866-497-1239
Practice Address - Street 1:ONE CITYPLACE DRIVE
Practice Address - Street 2:SUITE 570
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-7067
Practice Address - Country:US
Practice Address - Phone:314-514-6000
Practice Address - Fax:866-497-1239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO508903408Medicaid
MO508903408Medicaid