Provider Demographics
NPI:1538248893
Name:CITY OF GALION
Entity type:Organization
Organization Name:CITY OF GALION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:F
Authorized Official - Last Name:CRUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-468-1075
Mailing Address - Street 1:113 HARDING WAY E
Mailing Address - Street 2:
Mailing Address - City:GALION
Mailing Address - State:OH
Mailing Address - Zip Code:44833-1902
Mailing Address - Country:US
Mailing Address - Phone:419-468-1075
Mailing Address - Fax:419-468-8618
Practice Address - Street 1:113 HARDING WAY E
Practice Address - Street 2:
Practice Address - City:GALION
Practice Address - State:OH
Practice Address - Zip Code:44833-1902
Practice Address - Country:US
Practice Address - Phone:419-468-1075
Practice Address - Fax:419-468-8618
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF GALION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-06
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0669898Medicaid
OH0669898Medicaid
OHFV90691Medicare PIN