Provider Demographics
NPI:1649385865
Name:CRAWFORD COUNTY SHARED HEALTH SERVICES
Entity Type:Organization
Organization Name:CRAWFORD COUNTY SHARED HEALTH SERVICES
Other - Org Name:HOMECARE MATTERS HOME HEALTH & HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EARL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-462-8002
Mailing Address - Street 1:1220 N MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-1443
Mailing Address - Country:US
Mailing Address - Phone:419-468-7985
Mailing Address - Fax:419-468-9211
Practice Address - Street 1:1220 N MARKET ST
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-1443
Practice Address - Country:US
Practice Address - Phone:419-468-7985
Practice Address - Fax:419-468-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
OH0042HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH600006OtherUNITED HEALTH CARE OHIO
OH5839305OtherPASSPORT
OHY29OtherBLUE CROSS BLUE SHIELD
OH03503OtherPARAMOUNT ELITE
OH0606900Medicaid
OH2007483Medicaid
708465OtherBLACK LUNG
OH2007429Medicaid
OH600006OtherUNITED HEALTH CARE OHIO
OH0606900Medicaid