Provider Demographics
NPI:1114739711
Name:EAST HARTFORD CAB COMPANY INC
Entity type:Organization
Organization Name:EAST HARTFORD CAB COMPANY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-222-2222
Mailing Address - Street 1:PO BOX 411
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-0411
Mailing Address - Country:US
Mailing Address - Phone:860-222-2222
Mailing Address - Fax:860-926-4116
Practice Address - Street 1:134 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5252
Practice Address - Country:US
Practice Address - Phone:860-222-2222
Practice Address - Fax:860-926-4116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)