MEDICARE: MEDWAY MOBILITY 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	:	1588510754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDWAY MOBILITY LLC

Provider Business Mailing Address
First Line	:	6434 S 82ND EAST AVE # 214
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2396
Country	:	US
Telephone Number	:	512-992-3784
Fax Number	:

Provider Business Practice Location Address
First Line	:	6434 S 82ND EAST AVE # 214
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-2396
Country	:	US
Telephone Number	:	512-992-3784
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	TEWODROS ABEBAW
Credential	:
Telephone Number	:	512-905-0697

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “MEDWAY MOBILITY LLC ” Practice Location

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