Healthcare Provider Details

I. General information

NPI: 1649385865
Provider Name (Legal Business Name): CRAWFORD COUNTY SHARED HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 04/07/2022
Certification Date: 04/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 N MARKET ST
GALION OH
44833-1443
US

IV. Provider business mailing address

1220 N MARKET ST
GALION OH
44833-1443
US

V. Phone/Fax

Practice location:
  • Phone: 419-468-7985
  • Fax: 419-468-9211
Mailing address:
  • Phone: 419-468-7985
  • Fax: 419-468-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number0042HSP
License Number StateOH

VIII. Authorized Official

Name: NATALIE EARL
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 419-462-8002