MEDICARE: CROSSWAY MEDICAL TRANSPORT LLC

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	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1154279578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSWAY MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	1569 GLEN ELLEN DR
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-0003
Country	:	US
Telephone Number	:	559-936-3994
Fax Number	:

Provider Business Practice Location Address
First Line	:	1569 GLEN ELLEN DR
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-0003
Country	:	US
Telephone Number	:	559-934-3994
Fax Number	:	559-366-7385

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL JACOB DURAN
Credential	:
Telephone Number	:	559-936-3994

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “CROSSWAY MEDICAL TRANSPORT LLC ” Practice Location

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