Provider Demographics
NPI:1245499391
Name:CRAWFORD COUNTY SHARED HEALTH SERVICES
Entity type:Organization
Organization Name:CRAWFORD COUNTY SHARED HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:
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?:Yes
Parent Organization LBN:CRAWFORD COUNTY SHARED HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-04
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0042 HSP251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2007429Medicaid
36-1546Medicare PIN