VITAL CARE PLLC NPI 1093301418

NPI Information

  • NPI: 1093301418
  • Provider Name: VITAL CARE, PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 50D2203753
  • Address: 101 NW 12TH AVE STE 107
    BATTLE GROUND, WA
    ZIP 98604
  • Phone: (360) 723-0528

Map and Directions

Get Directions

NPI Details

VITAL CARE, PLLC is a family medicine in Battle Ground, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VITAL CARE, PLLC NPI is 1093301418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 NW 12TH AVE STE 107
BATTLE GROUND, WA
ZIP 98604-141
Phone: (360) 723-0528

The provider's authorized official is Todd James Cichosz .
The authorized official title is Co-owner and has the following contact phone number (360) 210-3044.

The CLIA number assigned to this NPI record is 50D2203753 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/19/2020 and was last updated on 1/13/2023.

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
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PA60470619OTHERWASHINGTONWASHINGTON DEPARTMENT OF HEALTH

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI