Vital Health And Wellness | |
Vital Health And Wellness 2100 Chestnut Street Montgomery AL 36106 | |
(334) 264-3434 | |
(334) 834-9071 |
Full Name | Vital Health And Wellness |
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Speciality | Family Medicine |
Location | Vital Health And Wellness, Montgomery, Alabama |
Authorized Official Name and Position | Regan Owens (OWNER) |
Authorized Official Contact | 3342643434 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vital Health And Wellness Vital Health And Wellness 2100 Chestnut Street Montgomery AL 36106 Ph: (334) 264-3434 | Vital Health And Wellness Vital Health And Wellness 2100 Chestnut Street Montgomery AL 36106 Ph: (334) 264-3434 |
NPI Number | 1457139016 |
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Provider Enumeration Date | 09/15/2023 |
Last Update Date | 09/15/2023 |
Medicare PECOS PAC ID | 3476909169 |
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Medicare Enrollment ID | O20231101002151 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457139016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | John Porter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205182508 PECOS PAC ID: 0648404129 Enrollment ID: I20150826000598 |
Provider Name | Brooke Ross Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043742489 PECOS PAC ID: 6507017258 Enrollment ID: I20171009000109 |
Provider Name | Reagan Owens |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659077709 PECOS PAC ID: 3274999545 Enrollment ID: I20230512000569 |
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