Provider Demographics
NPI:1275708166
Name:CITY YELLOW CAB CO
Entity Type:Organization
Organization Name:CITY YELLOW CAB CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCLENATHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-253-7936
Mailing Address - Street 1:650 HOME AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310
Mailing Address - Country:US
Mailing Address - Phone:330-253-2131
Mailing Address - Fax:330-253-2135
Practice Address - Street 1:650 HOME AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310
Practice Address - Country:US
Practice Address - Phone:330-253-2131
Practice Address - Fax:330-253-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)