Healthcare Provider Details

I. General information

NPI: 1578337036
Provider Name (Legal Business Name): VHC-VI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2023
Last Update Date: 11/14/2023
Certification Date: 11/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 E RAINTREE DR STE 100
SCOTTSDALE AZ
85260-7307
US

IV. Provider business mailing address

11811 N TATUM BLVD STE 3031-23
PHOENIX AZ
85028-1614
US

V. Phone/Fax

Practice location:
  • Phone: 602-903-0360
  • Fax:
Mailing address:
  • Phone: 602-903-0360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN L NANCE
Title or Position: COO
Credential: RN
Phone: 602-903-0360