Provider Demographics
NPI:1992993307
Name:PULMONARY AND CRITICAL CARE SERVICES P C
Entity type:Organization
Organization Name:PULMONARY AND CRITICAL CARE SERVICES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:MCATEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-968-5864
Mailing Address - Street 1:223 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:GULF SHORES
Mailing Address - State:AL
Mailing Address - Zip Code:36542-3443
Mailing Address - Country:US
Mailing Address - Phone:251-968-5864
Mailing Address - Fax:251-968-5865
Practice Address - Street 1:223 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:GULF SHORES
Practice Address - State:AL
Practice Address - Zip Code:36542-3443
Practice Address - Country:US
Practice Address - Phone:251-968-5864
Practice Address - Fax:251-968-5865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00007041207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529905800Medicaid
I358Medicare PIN
ALI359Medicare PIN