Provider Demographics
NPI:1578965018
Name:CALDER CITY TAXI
Entity Type:Organization
Organization Name:CALDER CITY TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-451-2956
Mailing Address - Street 1:PO BOX T
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49501-4920
Mailing Address - Country:US
Mailing Address - Phone:616-451-2956
Mailing Address - Fax:616-454-8262
Practice Address - Street 1:146 PLEASANT ST SW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-5130
Practice Address - Country:US
Practice Address - Phone:616-454-8080
Practice Address - Fax:616-456-9509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MITC-14-0562344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi