Organization Active NPI

Vasco Healthcare Inc

  • Multi-Specialty Clinic/Center
  • Kingman, AZ
National Provider Identifier
1922761824
Registry record updated Oct 18, 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
3555 Western Ave
Kingman, AZ 86409-3291
Phone
(602) 346-0204
Fax
(877) 637-6691
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ALERACARE HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 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 Developmen
Phone
(602) 971-6950

Specialties & licenses 1

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

Addresses

Primary practice location

3555 Western Ave
Kingman, AZ 86409-3291

Mailing address

4045 E Bell Rd Ste 157
Phoenix, AZ 85032-2240
Phone (602) 404-0015

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1922761824",
    "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",
            "telephone_number": "602-404-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093291",
            "telephone_number": "602-346-0204",
            "fax_number": "877-637-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCO HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALERACARE HOLDINGS LLC",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "VASILIAUSKAS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SR VP BUSINESS DEVELOPMEN",
        "authorized_official_telephone_number": "602-971-6950"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.