Organization Active NPI

Vasco Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Flagstaff, AZ
National Provider Identifier
1710555867
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VASCO HEALTHCARE INC
Practice address
2001 N 4TH St
Flagstaff, AZ 86004-4227
Phone
(602) 346-0204
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ALERACARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Vasiliauskas
Title
Sr VP Business Development
Phone
(602) 971-6950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2001 N 4TH St
Flagstaff, AZ 86004-4227

Mailing address

4045 E Bell Rd Ste 157
Phoenix, AZ 85032-2240

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1710555867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 E BELL RD STE 157",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N 4TH ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860044227",
            "telephone_number": "602-346-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCO HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERACARE HOLDINGS LLC",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "VASILIAUSKAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "602-971-6950"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.