NPI Code Details Logo

NPI 1023922309

NPI 1023922309 : VANPRO LLC : MARION, IA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023922309
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    VANPRO LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/01/2026
-----------------------------------------------------
    Last Update Date     |    10/01/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2810 25TH AVE 
-----------------------------------------------------
    City                 |    MARION
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    52302-1311
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-776-7077
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2810 25TH AVE 
-----------------------------------------------------
    City                 |    MARION
-----------------------------------------------------
    State                |    IA
-----------------------------------------------------
    Zip                  |    52302-1311
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    206-776-7077
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     VANKUVA JACKSON ORINDA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    206-776-7077
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    343800000X
-----------------------------------------------------
    Taxonomy Name        |    Secured Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    347C00000X
-----------------------------------------------------
    Taxonomy Name        |    Private Vehicle
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.