Healthcare Provider Details

I. General information

NPI: 1982928594
Provider Name (Legal Business Name): CRAWFORD & CRAWFORD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2010
Last Update Date: 03/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 N 2ND ST
JAY OK
74346-2816
US

IV. Provider business mailing address

PO BOX 451807
GROVE OK
74345-1807
US

V. Phone/Fax

Practice location:
  • Phone: 918-253-3540
  • Fax: 918-253-3542
Mailing address:
  • Phone: 918-253-3540
  • Fax: 918-253-3542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number7942
License Number StateOK

VIII. Authorized Official

Name: MRS. SHANNON CRAWFORD
Title or Position: CEO
Credential: N/A
Phone: 918-253-3540