Organization
VASCULAR CARE INTERNATIONAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRE J MILLER (PRESIDENT)
(937) 642-4100
Entity
Organization
Contact information
Practice address
12966 COUNTY ROAD 153, EAST LIBERTY, OH 43319-9431
(937) 642-4100
(937) 642-4104
Mailing address
12966 COUNTY ROAD 153, EAST LIBERTY, OH 43319-9431
(937) 642-4100
(937) 642-4104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375906
BCBS
—
01
—
0553579000
KEYSTONE
—
01
—
117263
AMERICAID
—
01
—
244562
KAISER PERMANENTE
—
01
—
294349
AMERIGROUP
—
01
—
5319603
AETNA HEALTHCARE
—
01
—
703985
HARVARD PILGRIM
—
01
—
76379MDI
MDIPA
—
01
—
A1309454
OXFORD HEALTHCARE
—
01
—
N46792
HEALTHNET PHS
—
Enumeration date
04/09/2007
Last updated
08/22/2020
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