Organization
QUAD CITY CAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NEAL GULBRANSON (OWNER)
(218) 750-6672
Entity
Organization
Contact information
Practice address
4778 DIFFERDING POINT RD, EVELETH, MN 55734-8708
(218) 749-5000
(218) 744-9645
Mailing address
4778 DIFFERDING POINT RD, EVELETH, MN 55734-8708
(218) 749-5000
(218) 744-9645
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
20
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2KT71QU
BCBSMN INTERNAL REFERENCE NUMBER
MN
Enumeration date
02/29/2016
Last updated
02/29/2016
Update your record
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