Provider Demographics
NPI:1083739650
Name:COUNTY OF CRAWFORD
Entity Type:Organization
Organization Name:COUNTY OF CRAWFORD
Other - Org Name:CRAWFORD COUNTY HOME HEALTH, HOSPICE & PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:FINERAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
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:2007-03-20
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0670661Medicaid
IA0670661Medicaid