Provider Demographics
NPI:1366567083
Name:YELLOW ENTERPRISE SYSTEMS, LLC
Entity type:Organization
Organization Name:YELLOW ENTERPRISE SYSTEMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-214-7359
Mailing Address - Street 1:PO BOX 2107
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40201
Mailing Address - Country:US
Mailing Address - Phone:502-214-7359
Mailing Address - Fax:502-214-7441
Practice Address - Street 1:1601 S PRESTON STREET
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217
Practice Address - Country:US
Practice Address - Phone:502-214-7359
Practice Address - Fax:502-214-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0040341600000X
KY16103416L0300X
KY1111341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5505606300Medicaid
IN100006490AMedicaid
KY5600495500Medicaid
IN100006490AMedicaid
KY590087048Medicare ID - Type UnspecifiedRAILROAD