Organization
A SUPER TAXI
Active
Organization
A SUPER TAXI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHARI G TEKLE (OWNER)
(314) 503-2362
Entity
Organization
Contact information
Practice address
2929 S JEFFERSON AVE, SAINT LOUIS, MO 63118-1545
(314) 797-8228
Mailing address
2929 S JEFFERSON AVE, SAINT LOUIS, MO 63118-1545
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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