Provider Demographics
NPI:1700064276
Name:AIRPORT TAXI, INC
Entity Type:Organization
Organization Name:AIRPORT TAXI, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES & MARKETING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-592-6410
Mailing Address - Street 1:5010 HILLSBORO AVE N
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:MN
Mailing Address - Zip Code:55428-4029
Mailing Address - Country:US
Mailing Address - Phone:763-592-6400
Mailing Address - Fax:763-592-6422
Practice Address - Street 1:5010 HILLSBORO AVE N
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428-4029
Practice Address - Country:US
Practice Address - Phone:763-592-6400
Practice Address - Fax:763-592-6422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN371758343800000X, 343900000X
MNNOT APPLICABLE344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi