Organization Name:  CRITICAL CARE SYSTEMS, INC


Practice Location:
3700 VANGUARD DR SUITE D FT WAYNE, IN 46809 US
Tel: 260-747-0552  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	332BP3500X	Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition	IN	60005837A
N	3336C0003X	Suppliers Pharmacy	IN	60005837A
N	3336S0011X	Suppliers Pharmacy	IN	60005837A
N	332B00000X	Suppliers Durable Medical Equipment & Medical Supplies	IN	60005837A
Y	3336H0001X	Suppliers Pharmacy	IN	60005837A
N	251F00000X	Agencies Home Infusion

Other Provider Identifiers:

Issuer	Number	State	Type
	100293530A	IN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin