Organization
VAULT ADMIN SERVICES, LLC - PRIOR AUTH
Active
Parent organization
VAULT ADMIN SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VAULT ADMIN SERVICES, LLC
Authorized official
JESSICA KESSINGER (GENERAL COUNSEL)
(309) 826-2765
Entity
Organization
Contact information
Practice address
4022 E GREENWAY RD STE 11-12, PHOENIX, AZ 85032-4797
(309) 826-2765
Mailing address
4022 E GREENWAY RD STE 11-12, PHOENIX, AZ 85032-4797
(309) 826-2765
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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