Organization
CRANE MEDICAL TRANSPORTATION CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL C. CRANE (OWNER)
(520) 975-4902
Entity
Organization
Contact information
Practice address
2197 N CAMINO PRINCIPAL, TUCSON, AZ 85715-5300
(520) 885-1733
(520) 885-1709
Mailing address
PO BOX 31916, TUCSON, AZ 85751-1916
(520) 885-1733
(850) 885-1709
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
973489
AHCCCS ID#
AZ
Enumeration date
11/13/2006
Last updated
01/12/2014
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