| Vital Health Management | |
|
17950 Woodward Ave Detroit MI 48203-2260 | |
| (313) 815-8908 | |
| Not Available |
| Full Name | Vital Health Management |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 17950 Woodward Ave, Detroit, Michigan |
| Authorized Official Name and Position | Vincent Atchison (CEO) |
| Authorized Official Contact | 3138158908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Health Management 17950 Woodward Ave Detroit MI 48203-2260 Ph: (313) 815-8908 | Vital Health Management 17950 Woodward Ave Detroit MI 48203-2260 Ph: (313) 815-8908 |
| NPI Number | 1083396816 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 3971953118 |
|---|---|
| Medicare Enrollment ID | O20231229001244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083396816 | NPI | - | NPPES |
| Provider Name | Sheila Hatton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215554803 PECOS PAC ID: 0941628812 Enrollment ID: I20200910000374 |
| Provider Name | Rakesh Amin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437445475 PECOS PAC ID: 6002050010 Enrollment ID: I20201229001491 |
| Provider Name | David Voog Tobin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992496921 PECOS PAC ID: 0042672594 Enrollment ID: I20230815002377 |
| Provider Name | Angela M Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972898195 PECOS PAC ID: 1951754936 Enrollment ID: I20240125002987 |
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