Healthcare Provider Details

I. General information

NPI: 1861999179
Provider Name (Legal Business Name): YELLOW CAB TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 04/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 ANGULAR ST
BURLINGTON IA
52601-5827
US

IV. Provider business mailing address

301 ANGULAR ST
BURLINGTON IA
52601-5827
US

V. Phone/Fax

Practice location:
  • Phone: 319-752-6625
  • Fax: 319-752-2130
Mailing address:
  • Phone: 319-752-6625
  • Fax: 319-752-2130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number StateIA

VIII. Authorized Official

Name: MR. DENNIS CHARLES MANES
Title or Position: OWNER
Credential:
Phone: 319-752-6625