MEDICARE: CRANE YOUNG AND ASSOCIATES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	NH5522-5522	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457397325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANE YOUNG AND ASSOCIATES INC

Provider Business Mailing Address
First Line	:	3714 N PORTLAND AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-2924
Country	:	US
Telephone Number	:	405-942-3884
Fax Number	:	405-946-2642

Provider Business Practice Location Address
First Line	:	3804 N BARR AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73122-2410
Country	:	US
Telephone Number	:	405-789-7945
Fax Number	:	405-787-4061

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JUDY M CRANE
Credential	:
Telephone Number	:	405-942-3884

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	08/17/2009

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