Provider Demographics
NPI:1255587614
Name:JV CONCRETE & CONSTRUCTION
Entity type:Organization
Organization Name:JV CONCRETE & CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:VOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-933-4404
Mailing Address - Street 1:3159 YORK AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:IA
Mailing Address - Zip Code:52561-9401
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3159 YORK AVE
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:IA
Practice Address - Zip Code:52561-9401
Practice Address - Country:US
Practice Address - Phone:641-933-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment