Provider Demographics
NPI:1770300527
Name:SPEERS VAN SERVICES LLC
Entity type:Organization
Organization Name:SPEERS VAN SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:TENNEILLE
Authorized Official - Last Name:SPEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-341-5231
Mailing Address - Street 1:1811 W POINT RD
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52656-9338
Mailing Address - Country:US
Mailing Address - Phone:660-341-5231
Mailing Address - Fax:
Practice Address - Street 1:1811 W POINT RD
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:IA
Practice Address - Zip Code:52656-9338
Practice Address - Country:US
Practice Address - Phone:660-341-5231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)