Provider Demographics
NPI:1497038251
Name:TAXI AND TOURING SEDONA
Entity Type:Organization
Organization Name:TAXI AND TOURING SEDONA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TREBINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-853-9395
Mailing Address - Street 1:516 2ND NORTH STREET
Mailing Address - Street 2:P0 B0X 204
Mailing Address - City:CLARKDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:86324
Mailing Address - Country:US
Mailing Address - Phone:928-853-9395
Mailing Address - Fax:
Practice Address - Street 1:516 2ND NORTH STREET
Practice Address - Street 2:
Practice Address - City:CLARKDALE
Practice Address - State:AZ
Practice Address - Zip Code:86324
Practice Address - Country:US
Practice Address - Phone:928-853-9395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle