MEDICARE: CR MEDICAL 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	:	1619835725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CR MEDICAL TRANSPORT LLC

Provider Business Mailing Address
First Line	:	4603 PRESCOTT AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-4963
Country	:	US
Telephone Number	:	402-483-4086
Fax Number	:

Provider Business Practice Location Address
First Line	:	4603 PRESCOTT AVE
Second Line	:
City	:	LINCOLN
State	:	NE
Zip	:	68506-4963
Country	:	US
Telephone Number	:	402-483-4086
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARLA ROOT
Credential	:
Telephone Number	:	402-483-4086

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “CR MEDICAL TRANSPORT LLC ” Practice Location

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