=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447107255
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VANCOOP CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2026
-----------------------------------------------------
Last Update Date | 03/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5701 SHINGLE CREEK PKWY STE 210F
-----------------------------------------------------
City | BROOKLYN CENTER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55430-2330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-868-0519
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5701 SHINGLE CREEK PKWY STE 210F
-----------------------------------------------------
City | BROOKLYN CENTER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55430-2330
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 317-868-0519
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | PAUL COOPER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 317-868-0519
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------