Provider Demographics
NPI:1750873477
Name:NEW WORCESTER YELLOW CAB, INC.
Entity type:Organization
Organization Name:NEW WORCESTER YELLOW CAB, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-797-3115
Mailing Address - Street 1:7 S CRYSTAL ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01603-2825
Mailing Address - Country:US
Mailing Address - Phone:508-797-3115
Mailing Address - Fax:508-753-3640
Practice Address - Street 1:7 S CRYSTAL ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01603-2825
Practice Address - Country:US
Practice Address - Phone:508-797-3115
Practice Address - Fax:508-753-3640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi