Provider Demographics
NPI:1922539097
Name:RIDEY TAXI
Entity Type:Organization
Organization Name:RIDEY TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-552-5526
Mailing Address - Street 1:428 7TH ST NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-2270
Mailing Address - Country:US
Mailing Address - Phone:701-355-6414
Mailing Address - Fax:
Practice Address - Street 1:428 7TH ST NW
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-2270
Practice Address - Country:US
Practice Address - Phone:701-355-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-21
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi