| Vmae Corp | |
|
5715 W Alexander Rd Ste 110a Las Vegas NV 89130-2815 | |
| (702) 333-4373 | |
| (702) 333-4337 |
| Full Name | Vmae Corp |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5715 W Alexander Rd Ste 110a, Las Vegas, Nevada |
| Authorized Official Name and Position | Virginia M Kendrid (CEO) |
| Authorized Official Contact | 7252371300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vmae Corp 5715 W Alexander Rd Ste 110a Las Vegas NV 89130-2815 Ph: (702) 333-4373 | Vmae Corp 5715 W Alexander Rd Ste 110a Las Vegas NV 89130-2815 Ph: (702) 333-4373 |
| NPI Number | 1295277630 |
|---|---|
| Provider Enumeration Date | 11/16/2016 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 1759647415 |
|---|---|
| Medicare Enrollment ID | O20230607000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295277630 | NPI | - | NPPES |
| 100551987 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Marie Louise Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912284274 PECOS PAC ID: 8325312291 Enrollment ID: I20190522001122 |
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