| Organization Name: | CRAWFORD COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1134586811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILLY J BRUCE (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 115 N 14th St Denison |
| State: | IA US |
| Postal Code: | 514421452 |
| Phone Number: | 7122635071 |
| Fax Number: | 7122636106 |
| NPI Enumeration Date: | 01/26/2016 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |