Provider Demographics
NPI:1801275094
Name:CRANE MEDICAL TRANSPORTATION CO. LLC
Entity type:Organization
Organization Name:CRANE MEDICAL TRANSPORTATION CO. LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LUPICA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-885-1733
Mailing Address - Street 1:PO BOX 31916
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85751-1916
Mailing Address - Country:US
Mailing Address - Phone:520-885-1733
Mailing Address - Fax:520-885-1709
Practice Address - Street 1:2222 S 10TH AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85713-3470
Practice Address - Country:US
Practice Address - Phone:520-885-1733
Practice Address - Fax:520-885-1709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1548331028343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)