Provider Demographics
NPI:1215407853
Name:MONTE RIO TAXI
Entity Type:Organization
Organization Name:MONTE RIO TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:N
Authorized Official - Last Name:TIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-975-5135
Mailing Address - Street 1:PO BOX 841
Mailing Address - Street 2:
Mailing Address - City:MONTE RIO
Mailing Address - State:CA
Mailing Address - Zip Code:95462-0841
Mailing Address - Country:US
Mailing Address - Phone:707-975-5135
Mailing Address - Fax:
Practice Address - Street 1:14701 CANYON 7 RD
Practice Address - Street 2:
Practice Address - City:GUERNEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95446
Practice Address - Country:US
Practice Address - Phone:707-846-9802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherNATIONAL MEDICAL TRANSPORTATION