Provider Demographics
NPI:1710973367
Name:VISITING NURSE ASSOCIATION OF CRAWFORD COUNTY, INC.
Entity Type:Organization
Organization Name:VISITING NURSE ASSOCIATION OF CRAWFORD COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:814-333-7000
Mailing Address - Street 1:149 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-1139
Mailing Address - Country:US
Mailing Address - Phone:814-333-7000
Mailing Address - Fax:814-333-7013
Practice Address - Street 1:149 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-1139
Practice Address - Country:US
Practice Address - Phone:814-333-7000
Practice Address - Fax:814-333-7013
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEADVILLE MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-20
Last Update Date:2009-06-26
Deactivation Date:2009-06-01
Deactivation Code:
Reactivation Date:2009-06-26
Provider Licenses
StateLicense IDTaxonomies
PA704105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0722OtherHIGHMARK BLUE CROSS
PAV 0087 AOtherUPMCE & UPMC FOR YOU
PA114303OtherMEDPLUS/THREE RIVERS
PA1007287820001Medicaid
PA397041DMedicare Oscar/Certification