Healthcare Provider Details

I. General information

NPI: 1356386064
Provider Name (Legal Business Name): CRAWFORD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 06/11/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 ISAAC BEAL ROAD
BUCYRUS OH
44820
US

IV. Provider business mailing address

1520 ISAAC BEAL ROAD
BUCYRUS OH
44820
US

V. Phone/Fax

Practice location:
  • Phone: 419-562-5871
  • Fax:
Mailing address:
  • Phone: 419-562-5871
  • Fax: 419-562-2048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHERINE MARIE SIEFERT
Title or Position: HEALTH COMMISSIONER
Credential:
Phone: 419-562-5871