Provider Demographics
NPI:1013248731
Name:VIP SERVICES, INC.
Entity Type:Organization
Organization Name:VIP SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIOMONSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-723-4043
Mailing Address - Street 1:811 E GENEVA ST
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:WI
Mailing Address - Zip Code:53121-2305
Mailing Address - Country:US
Mailing Address - Phone:262-723-4043
Mailing Address - Fax:262-723-4984
Practice Address - Street 1:811 E GENEVA ST
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:WI
Practice Address - Zip Code:53121-2305
Practice Address - Country:US
Practice Address - Phone:262-723-4043
Practice Address - Fax:262-723-4984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)