Provider Demographics
NPI:1467456970
Name:CRAWFORD COUNTY COMMISSIONERS
Entity Type:Organization
Organization Name:CRAWFORD COUNTY COMMISSIONERS
Other - Org Name:CRAWFORD COUNTY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:M
Authorized Official - Last Name:BABCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-763-2445
Mailing Address - Street 1:20881 STATE HWY 198
Mailing Address - Street 2:
Mailing Address - City:SAEGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16433-6159
Mailing Address - Country:US
Mailing Address - Phone:814-763-2445
Mailing Address - Fax:814-763-2108
Practice Address - Street 1:20881 STATE HWY 198
Practice Address - Street 2:
Practice Address - City:SAEGERTOWN
Practice Address - State:PA
Practice Address - Zip Code:16433-6159
Practice Address - Country:US
Practice Address - Phone:814-763-2445
Practice Address - Fax:814-763-2108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA193002314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007476220002Medicaid
PA0007476220002Medicaid