Provider Demographics
NPI:1902159924
Name:MEDCENTRAL HEALTH SYSTEM
Entity Type:Organization
Organization Name:MEDCENTRAL HEALTH SYSTEM
Other - Org Name:CRAWFORD HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHAMBERLAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-526-8000
Mailing Address - Street 1:1820 E MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820-2018
Mailing Address - Country:US
Mailing Address - Phone:419-562-1413
Mailing Address - Fax:419-562-1424
Practice Address - Street 1:1820 E MANSFIELD ST
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-2018
Practice Address - Country:US
Practice Address - Phone:419-562-1413
Practice Address - Fax:419-562-1424
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDCENTRAL HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2529642Medicaid
OH361324Medicare Oscar/Certification