Healthcare Provider Details

I. General information

NPI: 1154279578
Provider Name (Legal Business Name): CROSSWAY MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1569 GLEN ELLEN DR
TULARE CA
93274-0003
US

IV. Provider business mailing address

1569 GLEN ELLEN DR
TULARE CA
93274-0003
US

V. Phone/Fax

Practice location:
  • Phone: 559-934-3994
  • Fax: 559-366-7385
Mailing address:
  • Phone: 559-936-3994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL JACOB DURAN
Title or Position: OWNER
Credential:
Phone: 559-936-3994