MEDICARE: MIKE J CROWELL

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)	242CC3462	IA

General Provider Information

NPI Number	:	1952281586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKE J CROWELL

Provider Business Mailing Address
First Line	:	2223 AVE E
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-2318
Country	:	US
Telephone Number	:	319-371-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	2223 AVE E
Second Line	:
City	:	FORT MADISON
State	:	IA
Zip	:	52627-2318
Country	:	US
Telephone Number	:	319-371-4224
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	09/08/2025

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