Provider Demographics
NPI:1629598818
Name:VIP & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:VIP & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THEYDON
Authorized Official - Middle Name:H
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-421-2500
Mailing Address - Street 1:PO BOX 26191
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23260-6191
Mailing Address - Country:US
Mailing Address - Phone:804-421-2500
Mailing Address - Fax:804-329-5050
Practice Address - Street 1:3915 CORBIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-1111
Practice Address - Country:US
Practice Address - Phone:804-421-2500
Practice Address - Fax:804-329-5050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle