Provider Demographics
NPI:1417168402
Name:CUSA ES, LLC DBA TAXI 9000 MINOT
Entity Type:Organization
Organization Name:CUSA ES, LLC DBA TAXI 9000 MINOT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-223-9305
Mailing Address - Street 1:500 3RD ST NE
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 3RD ST NE
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-2504
Practice Address - Country:US
Practice Address - Phone:701-223-9035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi