Provider Demographics
NPI:1912587973
Name:CITY CAB COMPANY, LLC
Entity Type:Organization
Organization Name:CITY CAB COMPANY, LLC
Other - Org Name:CITY CAB COMPANY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-533-4220
Mailing Address - Street 1:3424 MCKINLEY AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79930-4849
Mailing Address - Country:US
Mailing Address - Phone:191-553-4245
Mailing Address - Fax:
Practice Address - Street 1:3600 FRUTAS AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-1224
Practice Address - Country:US
Practice Address - Phone:915-533-4220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle