Provider Demographics
NPI:1043335565
Name:COUNTY OF CRAWFORD
Entity Type:Organization
Organization Name:COUNTY OF CRAWFORD
Other - Org Name:CRAWFORD COUNTY COMMUNITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:FINERAN
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:712-263-3303
Mailing Address - Street 1:105 N MAIN ST
Mailing Address - Street 2:COURTHOUSE ANNEX
Mailing Address - City:DENISON
Mailing Address - State:IA
Mailing Address - Zip Code:51442-1349
Mailing Address - Country:US
Mailing Address - Phone:712-263-3303
Mailing Address - Fax:712-263-4033
Practice Address - Street 1:105 N MAIN ST
Practice Address - Street 2:COURTHOUSE ANNEX
Practice Address - City:DENISON
Practice Address - State:IA
Practice Address - Zip Code:51442-1349
Practice Address - Country:US
Practice Address - Phone:712-263-3303
Practice Address - Fax:712-263-4033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0113407Medicaid