Provider Demographics
NPI:1497566657
Name:VP MEDICAL CONSULTING, LLC
Entity type:Organization
Organization Name:VP MEDICAL CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:501-778-3378
Mailing Address - Street 1:1201 MILITARY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-2922
Mailing Address - Country:US
Mailing Address - Phone:501-778-3378
Mailing Address - Fax:501-315-3378
Practice Address - Street 1:1745 AVILLA VINCINTAGE RD
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:AR
Practice Address - Zip Code:72002-8456
Practice Address - Country:US
Practice Address - Phone:501-507-0364
Practice Address - Fax:501-778-3378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management