Provider Demographics
NPI:1437608882
Name:NEW YELLOW CAB, LLC
Entity Type:Organization
Organization Name:NEW YELLOW CAB, LLC
Other - Org Name:YELLOW CAB OF CHARLOTTESVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:VAN DER LINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-989-3210
Mailing Address - Street 1:1515 6TH ST SE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-6504
Mailing Address - Country:US
Mailing Address - Phone:434-295-4131
Mailing Address - Fax:
Practice Address - Street 1:1515 6TH ST SE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-6504
Practice Address - Country:US
Practice Address - Phone:434-295-4131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23693344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi