Organization Name: | KOSTAS TAXI SERVICE |
NPI Number: | 1063741817 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA JOHN COOPER (OWNER) |
Mailing Address: | 235 Lee Drive Homer |
State: | AK US |
Postal Code: | 99603 |
Phone Number: | 9073997267 |
Fax Number: | 9072351933 |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 01/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 347C00000X |
License Number: | 932337 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Private Vehicle |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |