Healthcare Provider Details

I. General information

NPI: 1336971605
Provider Name (Legal Business Name): YAKIMA VALLEY CAB COMPANY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2024
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 SUMMITVIEW AVE STE 140
YAKIMA WA
98902-3080
US

IV. Provider business mailing address

901 SUMMITVIEW AVE STE 140
YAKIMA WA
98902-3080
US

V. Phone/Fax

Practice location:
  • Phone: 509-480-8110
  • Fax: 509-457-4663
Mailing address:
  • Phone: 509-480-8110
  • Fax: 509-457-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MICHAEL NEIL WILKINS
Title or Position: OWNER
Credential:
Phone: 509-480-8110