Provider Demographics
NPI:1427922970
Name:EBC ENTERPRISES,LLC
Entity type:Organization
Organization Name:EBC ENTERPRISES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:KOSSI
Authorized Official - Last Name:EGLOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-314-5512
Mailing Address - Street 1:1044 MANITOU TRL
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-2703
Mailing Address - Country:US
Mailing Address - Phone:309-314-5512
Mailing Address - Fax:
Practice Address - Street 1:1705 S 1ST AVE STE A
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6037
Practice Address - Country:US
Practice Address - Phone:309-314-5512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)