Healthcare Provider Details

I. General information

NPI: 1023922309
Provider Name (Legal Business Name): VANPRO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 25TH AVE
MARION IA
52302-1311
US

IV. Provider business mailing address

2810 25TH AVE
MARION IA
52302-1311
US

V. Phone/Fax

Practice location:
  • Phone: 206-776-7077
  • Fax:
Mailing address:
  • Phone: 206-776-7077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL

VIII. Authorized Official

Name: VANKUVA JACKSON ORINDA
Title or Position: CEO
Credential:
Phone: 206-776-7077