Provider Demographics
NPI:1003272378
Name:VANCOL TRUCKING LLC
Entity Type:Organization
Organization Name:VANCOL TRUCKING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:ROSEMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANCOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-513-6858
Mailing Address - Street 1:114 FULLER ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-3735
Mailing Address - Country:US
Mailing Address - Phone:781-513-6858
Mailing Address - Fax:
Practice Address - Street 1:114 FULLER ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-3735
Practice Address - Country:US
Practice Address - Phone:781-513-6858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-02
Last Update Date:2016-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)