Provider Demographics
NPI:1053842120
Name:RIDEY TAXI
Entity Type:Organization
Organization Name:RIDEY TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-214-5661
Mailing Address - Street 1:4309 N 19TH ST
Mailing Address - Street 2:P.O.BOX 574
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-5688
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4309 N 19TH ST
Practice Address - Street 2:#207
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-5688
Practice Address - Country:US
Practice Address - Phone:701-214-5661
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi