Provider Demographics
NPI:1316218407
Name:NEW RIVER TAXI INC
Entity Type:Organization
Organization Name:NEW RIVER TAXI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILCOX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:681-220-6160
Mailing Address - Street 1:PO BOX 651
Mailing Address - Street 2:
Mailing Address - City:COOL RIDGE
Mailing Address - State:WV
Mailing Address - Zip Code:25825-0651
Mailing Address - Country:US
Mailing Address - Phone:681-220-6160
Mailing Address - Fax:304-255-0706
Practice Address - Street 1:RT 19, 2225 FLAT TOP ROAD
Practice Address - Street 2:
Practice Address - City:COOL RIDGE
Practice Address - State:WV
Practice Address - Zip Code:25825
Practice Address - Country:US
Practice Address - Phone:681-220-6160
Practice Address - Fax:304-255-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)