Provider Demographics
NPI:1629361001
Name:VMSN, INC.
Entity Type:Organization
Organization Name:VMSN, INC.
Other - Org Name:VOLUNTEERS IN MEDICINE OF SOUTHERN NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMESON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-967-0530
Mailing Address - Street 1:4770 HARRISON DR # 105
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-5540
Mailing Address - Country:US
Mailing Address - Phone:702-967-0530
Mailing Address - Fax:702-967-0538
Practice Address - Street 1:1240 N MARTIN LUTHER KING BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-2825
Practice Address - Country:US
Practice Address - Phone:702-967-0530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-18
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV=========OtherEIN