Provider Demographics
NPI:1043930928
Name:VASCO HEALTHCARE INC
Entity Type:Organization
Organization Name:VASCO HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP BUSINESS DEV
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:VASILIAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-971-6950
Mailing Address - Street 1:4045 E BELL RD STE 157
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2240
Mailing Address - Country:US
Mailing Address - Phone:602-346-0204
Mailing Address - Fax:
Practice Address - Street 1:930 N SWITZER CANYON DR STE 201
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-4837
Practice Address - Country:US
Practice Address - Phone:602-346-0204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALERACARE HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty