Provider Demographics
NPI:1184457731
Name:MERCEDES CAB COMPANY, INC.
Entity type:Organization
Organization Name:MERCEDES CAB COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PANAGORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-776-7248
Mailing Address - Street 1:182 QUEEN ANNE RD
Mailing Address - Street 2:
Mailing Address - City:E HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:182 QUEEN ANNE RD
Practice Address - Street 2:
Practice Address - City:E HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-2403
Practice Address - Country:US
Practice Address - Phone:508-487-8333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)