Healthcare Provider Details

I. General information

NPI: 1528303112
Provider Name (Legal Business Name): AIRPORT TAXI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2012
Last Update Date: 12/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 POST RD
WARWICK RI
02886-1533
US

IV. Provider business mailing address

2000 POST RD
WARWICK RI
02886-1533
US

V. Phone/Fax

Practice location:
  • Phone: 401-737-2868
  • Fax: 401-734-1808
Mailing address:
  • Phone: 401-737-2868
  • Fax: 401-734-1808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY B MANNING
Title or Position: PRESIDENT
Credential:
Phone: 401-737-2868