Healthcare Provider Details

I. General information

NPI: 1396821989
Provider Name (Legal Business Name): CROSS ROADS TROLLEY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 W MAIN ST
DUDLEY MA
01571-5940
US

IV. Provider business mailing address

28 BATES POINT RD P.O. BOX 1153
WEBSTER MA
01570-3429
US

V. Phone/Fax

Practice location:
  • Phone: 508-949-6743
  • Fax:
Mailing address:
  • Phone: 508-949-6743
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA JANE KEEGAN
Title or Position: PRESIDENT
Credential:
Phone: 508-949-6743