Provider Demographics
NPI:1356888978
Name:COAST TO COAST MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:COAST TO COAST MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-717-1060
Mailing Address - Street 1:1130 E CLARK AVE STE 150 BOX 148
Mailing Address - Street 2:
Mailing Address - City:ORCUTT
Mailing Address - State:CA
Mailing Address - Zip Code:93455
Mailing Address - Country:US
Mailing Address - Phone:805-734-0212
Mailing Address - Fax:
Practice Address - Street 1:1130 E CLARK AVE
Practice Address - Street 2:STE 150 BOX 148
Practice Address - City:ORCUTT
Practice Address - State:CA
Practice Address - Zip Code:93455-5178
Practice Address - Country:US
Practice Address - Phone:805-734-0212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 342000000X, 347E00000X
CA3973384343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker
No251B00000XAgenciesCase Management
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)