Provider Demographics
NPI:1558392407
Name:VAN GO INC. OF RICHMOND
Entity Type:Organization
Organization Name:VAN GO INC. OF RICHMOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J SID
Authorized Official - Middle Name:
Authorized Official - Last Name:DELCARDAYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-261-7388
Mailing Address - Street 1:5805 SCHOOL AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-5444
Mailing Address - Country:US
Mailing Address - Phone:804-261-7388
Mailing Address - Fax:
Practice Address - Street 1:5805 SCHOOL AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-5444
Practice Address - Country:US
Practice Address - Phone:804-261-7388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)