MEDICARE: VASCULAR CARE INTERNATIONAL, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0553579000	OTHER	KEYSTONE
2	244562	OTHER	KAISER PERMANENTE
3	117263	OTHER	AMERICAID
4	294349	OTHER	AMERIGROUP
5	5319603	OTHER	AETNA HEALTHCARE
6	76379MDI	OTHER	MDIPA
7	A1309454	OTHER	OXFORD HEALTHCARE
8	703985	OTHER	HARVARD PILGRIM
9	000000375906	OTHER	BCBS
10	N46792	OTHER	HEALTHNET PHS

General Provider Information

NPI Number	:	1396868998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR CARE INTERNATIONAL, INC.

Provider Business Mailing Address
First Line	:	12966 COUNTY ROAD 153
Second Line	:
City	:	EAST LIBERTY
State	:	OH
Zip	:	43319-9431
Country	:	US
Telephone Number	:	937-642-4100
Fax Number	:	937-642-4104

Provider Business Practice Location Address
First Line	:	12966 COUNTY ROAD 153
Second Line	:
City	:	EAST LIBERTY
State	:	OH
Zip	:	43319-9431
Country	:	US
Telephone Number	:	937-642-4100
Fax Number	:	937-642-4104

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CASSANDRE J MILLER
Credential	:
Telephone Number	:	937-642-4100

Provider Enumeration Date	:	04/09/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1578764270 — MRS. JOLYNN S MUNRO OTR
Practice Location Address:

109 S MITCHELL CT
LIBERTY LAKE, WA
99019-9431

Practice Phone: 509-255-1222
Practice Fax: 509-255-1133

1104102748 — MELISSA TOMASKI
Practice Location Address:

7731 SENECA ST , UPPER
EAST AURORA, NY
14052-9431

Practice Phone: 716-335-2560
Practice Fax:

1871209759 — DANIEL W ZEPP
Practice Location Address:

640 FISH AND GAME RD
EAST BERLIN, PA
17316-9431

Practice Phone: 717-850-5674
Practice Fax:

1235243809 — SARA VICARI PT
Practice Location Address:

11000 STATE ROUTE 347
EAST LIBERTY, OH
43319-9470

Practice Phone: 937-578-0598
Practice Fax: 937-578-0549

1467576926 — MARK SELMEK PT
Practice Location Address:

11000 STATE ROUTE 347
EAST LIBERTY, OH
43319-9470

Practice Phone: 937-578-0598
Practice Fax: 937-578-0549

1518168046 — PERRY TOWNSHIP LOGAN COUNTY OHIO
Practice Location Address:

3265 STREET STATE
EAST LIBERTY, OH
43319-0035

Practice Phone: 937-666-3404
Practice Fax:

Directions to “VASCULAR CARE INTERNATIONAL, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.