Provider Demographics
NPI:1124407267
Name:VIRIDIAN HEALTH SOLUTIONS, INC
Entity Type:Organization
Organization Name:VIRIDIAN HEALTH SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-369-6088
Mailing Address - Street 1:22601 N 19TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1326
Mailing Address - Country:US
Mailing Address - Phone:602-443-5261
Mailing Address - Fax:602-798-8263
Practice Address - Street 1:22601 N 19TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-1326
Practice Address - Country:US
Practice Address - Phone:602-443-5261
Practice Address - Fax:602-798-8263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-21
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service