MEDICARE: YELLOW CAB OF KLAMATH FALLS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1043419955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YELLOW CAB OF KLAMATH FALLS

Provider Business Mailing Address
First Line	:	445 S SPRING ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-6263
Country	:	US
Telephone Number	:	541-882-1875
Fax Number	:	541-273-7013

Provider Business Practice Location Address
First Line	:	445 S SPRING ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97601-6263
Country	:	US
Telephone Number	:	541-882-1875
Fax Number	:	541-273-7013

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES L ROBINSON
Credential	:
Telephone Number	:	541-882-1875

Provider Enumeration Date	:	07/12/2007
Last Update Date	:	07/12/2007

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