MEDICARE: ROWAN GEALICHUAIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	347C00000X	Private Vehicle
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1194689067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROWAN GEALICHUAIN

Provider Business Mailing Address
First Line	:	3044 N MAIN ST
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-7823
Country	:	US
Telephone Number	:	567-307-5173
Fax Number	:

Provider Business Practice Location Address
First Line	:	3044 N MAIN ST
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44903-7823
Country	:	US
Telephone Number	:	567-307-5173
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “ ROWAN GEALICHUAIN ” Practice Location

Language	Start Address	Practice Location

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