MEDICARE: FLOWING WELLS 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1326987132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLOWING WELLS TRANSPORT LLC

Provider Business Mailing Address
First Line	:	4111 N FLOWING WELLS RD UNIT 14104
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-6337
Country	:	US
Telephone Number	:	520-788-8492
Fax Number	:

Provider Business Practice Location Address
First Line	:	4111 N FLOWING WELLS RD UNIT 14104
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85705-6337
Country	:	US
Telephone Number	:	520-788-8492
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. SEAN MICKAEL SCHWESKA
Credential	:	RN
Telephone Number	:	520-788-8492

Provider Enumeration Date	:	03/26/2026
Last Update Date	:	03/26/2026

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