Healthcare Provider Details

I. General information

NPI: 1144491036
Provider Name (Legal Business Name): TOWN TAXI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2008
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 10TH AVE
HAVRE MT
59501-3761
US

IV. Provider business mailing address

PO BOX 1771 446 10TH AVE.
HAVRE MT
59501-1771
US

V. Phone/Fax

Practice location:
  • Phone: 406-265-5019
  • Fax: 406-265-4207
Mailing address:
  • Phone: 406-265-5019
  • Fax: 406-265-4207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. LORRAINE M. PESTER
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 406-265-5019