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VITAL HEALTH LLC NPI 1952068843


NPI Information

NPI: 1952068843
Provider Name: VITAL HEALTH LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 36D2249538

Address:
111 CLINTON ST
MAUMEE, OH
ZIP 43537
Phone: (197) 403-0224
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VITAL HEALTH LLC is a rehabilitation and substance use disorder clinic center in Maumee, OH. VITAL HEALTH LLC NPI is 1952068843. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 CLINTON ST
MAUMEE, OH
ZIP 43537-811
Phone: (197) 403-0224
Fax: (419) 740-3033

The provider's authorized official is Nicole M Spellis-freyre .
The authorized official title is Authorized Official and has the following contact phone number (419) 740-3022.

The CLIA number assigned to this NPI record is 36D2249538 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2021 and was last updated on 9/29/2023.


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 MedicineNo
2251S00000XCommunity/Behavioral HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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

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