Provider Demographics
NPI:1336812072
Name:CRITICAL CARE AIR, LLC
Entity Type:Organization
Organization Name:CRITICAL CARE AIR, LLC
Other - Org Name:CRITICAL CARE MEDFLIGHT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-426-6557
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-0245
Mailing Address - Country:US
Mailing Address - Phone:770-513-0249
Mailing Address - Fax:
Practice Address - Street 1:570 BRISCOE BLVD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4637
Practice Address - Country:US
Practice Address - Phone:800-426-6557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDWAY AIR AMBULANCE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-28
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport