Provider Demographics
NPI:1235876343
Name:YELLOW CAB MEDICAL TRANSPORT, LLC
Entity Type:Organization
Organization Name:YELLOW CAB MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WAKEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-763-7327
Mailing Address - Street 1:2425 FISHER RD NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1238
Mailing Address - Country:US
Mailing Address - Phone:503-763-7327
Mailing Address - Fax:503-362-6446
Practice Address - Street 1:2425 FISHER RD NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1238
Practice Address - Country:US
Practice Address - Phone:503-763-7327
Practice Address - Fax:503-362-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi