Healthcare Provider Details
I. General information
NPI: 1821504440
Provider Name (Legal Business Name): BLUFFS TAXI & COURIER INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2017
Last Update Date: 12/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
645 9TH AVE
COUNCIL BLUFFS IA
51501-6281
US
IV. Provider business mailing address
PO BOX 1848
COUNCIL BLUFFS IA
51502-1848
US
V. Phone/Fax
- Phone: 712-322-5505
- Fax:
- Phone: 712-322-5505
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 344600000X |
| Taxonomy | Taxi |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUSAN
PRICE
Title or Position: PRESIDENT
Credential:
Phone: 402-639-0838