Provider Demographics
NPI:1982262531
Name:FREMONT CAB SERVICE
Entity Type:Organization
Organization Name:FREMONT CAB SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:G
Authorized Official - Last Name:POSPISIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-727-6503
Mailing Address - Street 1:2437 PARKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-4594
Mailing Address - Country:US
Mailing Address - Phone:402-727-6503
Mailing Address - Fax:
Practice Address - Street 1:304 E 22ND ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2608
Practice Address - Country:US
Practice Address - Phone:402-721-2121
Practice Address - Fax:402-727-7916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE77150274Medicaid