Provider Demographics
NPI:1427282128
Name:MEDI-TAXI INC
Entity type:Organization
Organization Name:MEDI-TAXI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:KEMPTHORN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-746-5697
Mailing Address - Street 1:P.O. BOX 5183
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117
Mailing Address - Country:US
Mailing Address - Phone:704-746-5697
Mailing Address - Fax:704-799-6033
Practice Address - Street 1:142 MAGNOLIA FARM LANE
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117
Practice Address - Country:US
Practice Address - Phone:704-799-6033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)