Provider Demographics
NPI:1750374583
Name:LOREN J. VOS TREAS
Entity type:Organization
Organization Name:LOREN J. VOS TREAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LOREN
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-891-5000
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:
Mailing Address - City:SULLY
Mailing Address - State:IA
Mailing Address - Zip Code:50251-0256
Mailing Address - Country:US
Mailing Address - Phone:641-891-5000
Mailing Address - Fax:
Practice Address - Street 1:601 5TH ST
Practice Address - Street 2:
Practice Address - City:SULLY
Practice Address - State:IA
Practice Address - Zip Code:50251-0256
Practice Address - Country:US
Practice Address - Phone:641-891-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-26
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0022525Medicaid
0022525OtherHERITAGE JOHN DEERE
02252OtherBLUE CROSS BLUE SHIELD
02252OtherBLUE CROSS BLUE SHIELD