Healthcare Provider Details

I. General information

NPI: 1619892023
Provider Name (Legal Business Name): ONB LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ROCKVILLE ST
MANCHESTER NH
03104-5559
US

IV. Provider business mailing address

20 ROCKVILLE ST
MANCHESTER NH
03104-5559
US

V. Phone/Fax

Practice location:
  • Phone: 603-341-1933
  • Fax:
Mailing address:
  • Phone: 603-203-9640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: OSCAR BANGASINGBO
Title or Position: MANAGING MEMBER
Credential:
Phone: 603-203-9640