Organization
GLOBE TAXI COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN JACOB HODES (GENERAL MANAGER)
(928) 812-5090
Entity
Organization
Contact information
Practice address
150 S PINE ST, GLOBE, AZ 85501-2647
(928) 402-8294
(928) 425-2585
Mailing address
150 S PINE ST, GLOBE, AZ 85501-2647
(928) 402-8294
(928) 425-2585
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
L14845637
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
392817
AHCCCS PROVIDER
AZ
Enumeration date
05/20/2009
Last updated
05/20/2009
Update your record
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