Vitam Revivere Corporation

LBN: Vitam Revivere Corporation
Vitam Revivere Corporation is an health care organization with primary practice located at 327 College St Ste 206 , Woodland CA 95695-3484. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Vitam Revivere Corporation can be contacted via phone (916) 288-7484, or through Siggins, Donald Robert via phone (530) 591-7284.

Contact Information

Primary practice address
327 College St Ste 206 Woodland CA 95695-3484
Fax:
Website:
Authorized official contact:
Name: Siggins, Donald Robert ED.D.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1164070009
LBN Legal business name Vitam Revivere Corporation
DBA Doing business as
Authorized official Siggins, Donald Robert ED.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 5 years ago

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 1164070009 NPPES
California Other 1346665361 NPI
California Other 1760860100 NPI

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