Provider Demographics
NPI:1780262097
Name:VASCO HEALTHCARE INC
Entity type:Organization
Organization Name:VASCO HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP BUSINESS DEVELOPMENT
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:602-404-0015
Mailing Address - Fax:
Practice Address - Street 1:5520 E MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-8793
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:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty