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VITALITY UNLIMITED NPI 1912445073


NPI Information

NPI: 1912445073
Provider Name: VITALITY UNLIMITED

Other Name: VITALITY UNLIMITED

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3740 E IDAHO ST
ELKO, NV
ZIP 89801
Phone: (775) 738-4158
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VITALITY UNLIMITED is a mental health (including community mental health center) clinic center in Elko, NV. VITALITY UNLIMITED NPI is 1912445073. The provider is registered as an organization entity type.
The provider Other Name Is Vitality Unlimited.

The provider's business location address is:

3740 E IDAHO ST
ELKO, NV
ZIP 89801-611
Phone: (775) 738-4158
Fax: (775) 753-6487

The provider's authorized official is Dorothy Jean Dexter .
The authorized official title is Chief Financial Officer and has the following contact phone number (775) 738-4158.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 9/24/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)NEVADAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11376624494MEDICAIDNEVADA

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

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