VITALITY HEALTH NETWORK LLC NPI 1962908558

NPI Information

NPI: 1962908558
Provider Name: VITALITY HEALTH NETWORK LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3100 DICK POND RD UNIT E
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 410-0330
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VITALITY HEALTH NETWORK LLC is a multi-specialty clinic center in Myrtle Beach, SC. VITALITY HEALTH NETWORK LLC NPI is 1962908558. The provider is registered as an organization entity type.

The provider's business location address is:

3100 DICK POND RD UNIT E
MYRTLE BEACH, SC
ZIP 29588-286
Phone: (843) 410-0330

The provider's authorized official is Lucy Martinez .
The authorized official title is Office Manager and has the following contact phone number (843) 410-0330.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 4/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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