VITALIS HEALTH (NPI# 1417598517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417598517 |
| Entity Type | Organization |
| Organization Name | VITALIS HEALTH |
| Practice Address |
3091 Battlefield Pkwy Ft Oglethorpe GA 30742-4003 |
| Practice Telephone | 4239029667 |
| Mailing Telephone | 7068410500 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2020-08-21 |
| Authorized Official Name | DENISE GOODWIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4239029667 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | VITALiS Health Inc | 1942 Broadway St. Ste 314c, Boulder, CO 80302 |
| New York State Corporations | VITALIS HEALTH, INC | 139 North Euclid Avenue, Westfield, Nj 07090 |
| Street Address |
3091 BATTLEFIELD PKWY |
| City | FT OGLETHORPE |
| State | GA |
| Zip Code | 30742-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295972 | Essential Dental, Inc. | Clinic/Center | Essential Dental, Inc, 1188 Cross Street, Fort Oglethorpe, GA 30742 | 2018-12-05 |
| 1760993646 | Mary Lucinda Williams | Counselor | 2007 Old Lafayette Road, Ft. Oglethorpe, GA 30742 | 2017-10-18 |
| 1689120321 | Mary Elizabeth O'brien | Physical Therapist | 2403 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2016-09-01 |
| 1952768624 | Richard Falconbury | Audiologist-Hearing Aid Fitter | 967 Battlefield Pkwy, Ft Oglethorpe, GA 30742 | 2016-01-26 |
| 1720471469 | Fred Gilreath | Pharmacist | 3801 Tennessee Ave., Fort Oglethorpe, GA 30742 | 2015-03-05 |
| 1538559240 | Michael Dewayne Craig | Physician Assistant | 3063 Battlefield Pkwy, Fort Oglethorpe, GA 30742 | 2015-02-02 |
| 1003232968 | Carla Myers | Counselor | 1875 Fant Drive, Lookout Mountain Community Services, Ft. Oglethorpe, GA 30742 | 2014-03-14 |
| 1386823680 | Lisa L. Bethea | Anesthesiology | 504 N. Thomas Rd, Suite 200, Hutcheson Medical Center, Fort Oglethorpe, GA 30742 | 2007-11-02 |
| 1487857447 | James Andrew Scolet | Physical Therapy Assistant | Nhc Healthcare, 2203 Battlefield Parkway, Fort Oglethorpe, GA 30742 | 2007-06-07 |
| 1548338296 | Amy C Williams | Occupational Therapist | 118 Herron Street, Ft Oglethorpe, GA 30742 | 2006-12-01 |
| Find all providers in zip 30742 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1801495213 | New Orleans Caring Hands LLC | Clinic/Center | 4696 Balley Shannon Dr Se, Mableton, GA 30126-1763 | 2020-10-19 |
| 1205434594 | Sunflower Counseling Center | Clinic/Center | 950 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281-7343 | 2020-10-09 |
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
| 1346851292 | Solacium Holding LLC | Clinic/Center | 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 | 2020-08-13 |
| 1962012153 | Janel Falvey LLC | Clinic/Center | 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 | 2020-08-03 |
| 1386252948 | Endpoints LLC | Clinic/Center | 3036 General Lee Rd, Macon, GA 31204-1518 | 2020-07-20 |
| 1790393684 | Reclaimu Healthcare Services, LLC | Clinic/Center | 2037 Ema Dell Pl, Loganville, GA 30052-5375 | 2020-07-16 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | FT OGLETHORPE |
| Zip Code | 30742 |
Please comment or provide details below to improve the information on VITALIS HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.