Organization Active NPI

Yellow Cab Company

  • Non-emergency Medical Transport (VAN)
  • Keyser, WV
National Provider Identifier
1720115595
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
006514 Issued in WV
Legal business name
YELLOW CAB COMPANY
Practice address
210 E Piedmont St
Keyser, WV 26726-3125
Phone
(304) 788-3531
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Glen Marvin Lee
Title
Owner
Phone
(304) 788-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 006514 WV Primary

Addresses

Primary practice location

210 E Piedmont St
Keyser, WV 26726-3125

Mailing address

210 E Piedmont St
Keyser, WV 26726-3125
Phone (304) 788-3531

Other identifiers 1

IdentifierTypeStateIssuer
0146509000MedicaidWV

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1720115595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E PIEDMONT ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263125",
            "telephone_number": "304-788-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E PIEDMONT ST",
            "city": "KEYSER",
            "state": "WV",
            "postal_code": "267263125",
            "telephone_number": "304-788-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW CAB COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-788-3531",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WV",
            "license": "006514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146509000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keyser, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.