| Organization Name: | CRAWFORD URGENT CARE CENTER, LLC |
| NPI Number: | 1003123290 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DUANE A. ALBRIGHT (ADMINISTRATOR) |
| Mailing Address: | 1820 E Mansfield St Bucyrus |
| State: | OH US |
| Postal Code: | 448202018 |
| Phone Number: | 4195621413 |
| Fax Number: | 4165621424 |
| NPI Enumeration Date: | 09/09/2010 |
| NPI Last Update Date: | 12/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |