| Vital Health | |
|
4944 Windplay Dr Ste 112 El Dorado Hills CA 95762-9310 | |
| (202) 309-9677 | |
| Not Available |
| Full Name | Vital Health |
|---|---|
| Speciality | Family Medicine |
| Location | 4944 Windplay Dr Ste 112, El Dorado Hills, California |
| Authorized Official Name and Position | Brooke Jungi (PRACTICE MANAGER) |
| Authorized Official Contact | 5304516234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Health 4944 Windplay Dr Ste 112 El Dorado Hills CA 95762-9310 Ph: () - | Vital Health 4944 Windplay Dr Ste 112 El Dorado Hills CA 95762-9310 Ph: (202) 309-9677 |
| NPI Number | 1922728898 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 12/05/2022 |
| Medicare PECOS PAC ID | 2365811387 |
|---|---|
| Medicare Enrollment ID | O20221214002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922728898 | NPI | - | NPPES |
| 0 | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jon R Pritchett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275554867 PECOS PAC ID: 5799778734 Enrollment ID: I20040406000860 |
| Provider Name | Mark E Knoble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174617799 PECOS PAC ID: 1658431192 Enrollment ID: I20081113000648 |
| Provider Name | Beverly L Meier Hanaway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366708901 PECOS PAC ID: 1557687373 Enrollment ID: I20150312002546 |
| Provider Name | David J Kyle |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1952531758 PECOS PAC ID: 9638472194 Enrollment ID: I20160118000764 |
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