Vitality Medical Centers Of North Augusta, Inc.

LBN: Vitality Medical Centers Of North Augusta, Inc.
Vitality Medical Centers Of North Augusta, Inc. is an health care organization with primary practice located at 440 W Martintown Rd Ste 200 , North Augusta SC 29841-3106. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Vitality Medical Centers Of North Augusta, Inc. can be contacted via phone (803) 265-2015, or through Farmer, Jason B via phone (803) 244-9212.

Contact Information

Primary practice address
440 W Martintown Rd Ste 200 North Augusta SC 29841-3106
Phone: (803) 265-2015
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Farmer, Jason B
Phone: (803) 244-9212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1851756720
LBN Legal business name Vitality Medical Centers Of North Augusta, Inc.
DBA Doing business as
Authorized official Farmer, Jason B
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2015
Last updated Oct 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851756720 NPPES
South Carolina MEDICAID GP7172

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