Provider Demographics
NPI:1982875290
Name:CRITICAL NURSING SERVICES, INC
Entity Type:Organization
Organization Name:CRITICAL NURSING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-487-6428
Mailing Address - Street 1:98-715 IHO PL # 4-901
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2514
Mailing Address - Country:US
Mailing Address - Phone:808-487-6428
Mailing Address - Fax:
Practice Address - Street 1:98-715 IHO PL # 4-901
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-2514
Practice Address - Country:US
Practice Address - Phone:808-487-6428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4789404901251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care