Organization
GREEN TAXI COOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED GAD JR. (MANAGER)
(720) 757-3798
Entity
Organization
Contact information
Practice address
2840 S VALLEJO ST, ENGLEWOOD, CO 80110-1222
(720) 757-3798
Mailing address
2840 S VALLEJO ST, ENGLEWOOD, CO 80110-1222
(720) 757-3798
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
55883
CO
344600000X
Taxi
55883
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55883
—
CO
Enumeration date
09/30/2016
Last updated
10/30/2016
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