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NPI Code Detail

MEDICARE: CITY CAB & VAN SERVICE, INC.

MEDICARE: CITY CAB & VAN SERVICE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1344600000XTaxi1MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16BB47CIOTHERMNBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1871816025
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY CAB & VAN SERVICE, INC.
Provider Business Mailing Address
First Line : 200 9TH ST
Second Line :
City : INTERNATIONAL FALLS
State : MN
Zip : 56649-2747
Country : US
Telephone Number : 218-283-8635
Fax Number : 218-283-3958
Provider Business Practice Location Address
First Line : 200 9TH ST
Second Line :
City : INTERNATIONAL FALLS
State : MN
Zip : 56649-2747
Country : US
Telephone Number : 218-283-8635
Fax Number : 218-283-3958
Authorized Official
Title or Position : OWNER
Name : JOSEPH F BLACK
Credential :
Telephone Number : 218-283-8635
Provider Enumeration Date : 03/02/2010
Last Update Date : 03/02/2010

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Directions to “CITY CAB & VAN SERVICE, INC. ” Practice Location

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