VITEGENT HEALTHCARE INC. NPI 1215585807

NPI Information

VITEGENT HEALTHCARE INC. is a clinic center in Holbrook, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). VITEGENT HEALTHCARE INC. NPI is 1215585807. The provider is registered as an organization entity type.
The provider Is Doing Business As Petrified Forest Medical Center.

The provider's business location address is:

500 E IOWA ST
HOLBROOK, AZ
ZIP 86025-750
Phone: (928) 524-3913

The provider's authorized official is Justin Hickman .
The authorized official title is President And Ceo and has the following contact phone number (302) 724-6217.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 9/18/2019.

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:

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