Provider Demographics
NPI:1164995981
Name:AIMS VASCULAR ACCESS, LLC
Entity Type:Organization
Organization Name:AIMS VASCULAR ACCESS, LLC
Other - Org Name:AIMS VASCULAR ACCESS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:INGLIS-DREW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-505-7386
Mailing Address - Street 1:1859 RAMBLING DR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-2417
Mailing Address - Country:US
Mailing Address - Phone:541-505-7386
Mailing Address - Fax:
Practice Address - Street 1:1859 RAMBLING DR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-2417
Practice Address - Country:US
Practice Address - Phone:541-505-7386
Practice Address - Fax:541-653-9155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care