Organization
CROSS COUNTRY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY CROSS (OWNER/ MANAGER)
(216) 664-2627
Entity
Organization
Contact information
Practice address
3150 NORTH FIRST ST., SUITE 104, JENA, LA 71342
(318) 664-2627
Mailing address
168 TARPLEY RD, POLLOCK, LA 71467-4502
(318) 664-2627
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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