Provider Demographics
NPI:1447722764
Name:VMAE CORP
Entity type:Organization
Organization Name:VMAE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KENDRID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-859-9203
Mailing Address - Street 1:2575 MONTESSOURI ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-3060
Mailing Address - Country:US
Mailing Address - Phone:702-485-5020
Mailing Address - Fax:702-485-5083
Practice Address - Street 1:2575 MONTESSOURI ST STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-3060
Practice Address - Country:US
Practice Address - Phone:702-485-5020
Practice Address - Fax:702-485-5083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-27
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health