Quad City Cab LLC

Primary specialty

TaxiTaxonomy code 344600000X

License

20 Issued in MN

Legal business name

QUAD CITY CAB LLC

Practice address

4778 Differding Point Rd
Eveleth, MN 55734-8708

Phone

(218) 749-5000

Fax

(218) 744-9645

NPI assigned

Feb 29, 2016

Last updated

Feb 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ryan Neal Gulbranson

Title

Owner

Phone

(218) 750-6672

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1619337979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4778 DIFFERDING POINT RD",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557348708",
            "telephone_number": "218-749-5000",
            "fax_number": "218-744-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4778 DIFFERDING POINT RD",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557348708",
            "telephone_number": "218-749-5000",
            "fax_number": "218-744-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITY CAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "GULBRANSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-750-6672"
    },
    "taxonomies": [
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "MN",
            "license": "20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN INTERNAL REFERENCE NUMBER",
            "identifier": "2KT71QU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Taxi in Eveleth, MN
• Providers in Eveleth, MN by specialty
• Taxi in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.