Provider Information for 1588692164
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CRITICAL CARE SYSTEMS, LLC
Other Names:Doing Business As:OPTION CARE UTAHOrganization Subpart: YES
NPI: 1588692164
Last Updated: 2024-08-26
Certification Date: 2024-08-26
Certification Date: 2024-08-26
Details
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NPI | 1588692164 | ||||||||||||||||||||||||||||
Enumeration Date | 2006-06-30 | ||||||||||||||||||||||||||||
NPI Type | NPI-2 Organization | ||||||||||||||||||||||||||||
Status | Active | ||||||||||||||||||||||||||||
Authorized Official Information | Name: MICHAEL SHAPIRO Title: Secretary Phone: 8008796137 | ||||||||||||||||||||||||||||
Mailing Address | 4222 PAYSPHERE CIR CHICAGO, IL 60674-0042 United States Phone: 800-879-6137 | Fax: | ||||||||||||||||||||||||||||
Primary Practice Address | 2233 S. PRESIDENTS DRIVE SUITE B SALT LAKE CITY, UT 84120-7240 United States Phone: 801-978-9600 | Fax:801-978-0020 | ||||||||||||||||||||||||||||
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