NPI 1104091941

Vitality Health Center

Organisation Exclusive Provider Organization Denver, CO

Practice location

Address: 2696 S Colorado Blvd STE 230, Denver, CO 80222-5945
Phone: (303) 691-0022
Fax: (303) 753-1804

Authorised official

Name: Joshua T Johnston
Title: President
Phone: (303) 691-0022

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4764 (CO)

Other Exclusive Provider Organization providers in Colorado →

Registry record

NPI: 1104091941
Entity type: Organization
NPI issued: 23 Apr 2008
Record last updated: 10 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.