| Vital Care, Pllc | |
|
101 Nw 12th Ave Ste 107 Battle Ground WA 98604-9141 | |
| (360) 723-0528 | |
| Not Available |
| Full Name | Vital Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Nw 12th Ave Ste 107, Battle Ground, Washington |
| Authorized Official Name and Position | Todd James Cichosz (CO-OWNER) |
| Authorized Official Contact | 3602103044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Care, Pllc Po Box 1183 Battle Ground WA 98604-1183 Ph: (360) 723-0528 | Vital Care, Pllc 101 Nw 12th Ave Ste 107 Battle Ground WA 98604-9141 Ph: (360) 723-0528 |
| NPI Number | 1093301418 |
|---|---|
| Provider Enumeration Date | 12/19/2020 |
| Last Update Date | 01/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093301418 | NPI | - | NPPES |
| PA60470619 | Other | WA | WASHINGTON DEPARTMENT OF HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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