1477120384 NPI number — CROSS COUNTRY MEDICAL TRANSPORT LLC

Table of content: DR. OSCAR DEAN NORTON M. D. (NPI 1285606590)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477120384 NPI number — CROSS COUNTRY MEDICAL TRANSPORT LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CROSS COUNTRY MEDICAL TRANSPORT LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477120384
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
168 TARPLEY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
POLLOCK
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
71467-4502
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-664-2627
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3150 NORTH FIRST ST.
Provider Second Line Business Practice Location Address:
SUITE 104
Provider Business Practice Location Address City Name:
JENA
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-664-2627
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2021

Additional Information

Authorized Official

Authorized Official Last Name:
CROSS
Authorized Official First Name:
MARK
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
OWNER/ MANAGER
Authorized Official Telephone Number:
216-664-2627

Provider Taxonomy Codes

  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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