Healthcare Provider Details

I. General information

NPI: 1558226662
Provider Name (Legal Business Name): CROSS CITY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 S BOWMAN RD APT 323
LITTLE ROCK AR
72211-4691
US

IV. Provider business mailing address

3321 S BOWMAN RD APT 323
LITTLE ROCK AR
72211-4691
US

V. Phone/Fax

Practice location:
  • Phone: 501-766-4129
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NYASHE CLARK
Title or Position: OWNER/MANAGING MEMBER
Credential:
Phone: 501-766-4129