VITALITY PLUS INFUSION CENTER LLC NPI 1356121461

NPI Information

NPI: 1356121461
Provider Name: VITALITY PLUS INFUSION CENTER, LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 04D2291283

Address:
19 MEDICAL PLZ
MOUNTAIN HOME, AR
ZIP 72653
Phone: (870) 232-0885
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VITALITY PLUS INFUSION CENTER, LLC is an infusion therapy clinic center in Mountain Home, AR. VITALITY PLUS INFUSION CENTER, LLC NPI is 1356121461. The provider is registered as an organization entity type.

The provider's business location address is:

19 MEDICAL PLZ
MOUNTAIN HOME, AR
ZIP 72653-962
Phone: (870) 232-0885

The provider's authorized official is Lisa Vetter .
The authorized official title is Infusion Center Director and has the following contact phone number (870) 232-0885.

The CLIA number assigned to this NPI record is 04D2291283 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2023 and was last updated on 10/5/2023.

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
1	261QI0500X	Clinic/Center	Infusion Therapy			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: 5/5/2024

NPI Synchronization or Removal

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