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VITALITY PRIMARY CARE LLC
NPI 1023546660
Clinic/Center - Primary Care in Sallisaw, OK

Active since May 26, 2017
209 N OAK ST, SALLISAW, OK 74955(918) 636-3930(918) 636-3930 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vitality Primary Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY PRIMARY CARE LLC (NPI 1023546660) is a healthcare organization registered as a primary care in Sallisaw, Oklahoma and active in the NPI registry since May 2017. The organization lists Niko Koliastasis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023546660
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVITALITY PRIMARY CARE LLC
Location Address209 N OAK STSallisaw, OK 74955-4639
Mailing Address209 N Oak StSallisaw, OK 74955-4639 · (918) 636-3930 · Fax (188) 422-2115
Phone(918) 636-3930
Fax(918) 636-3930
Organization SubpartNo
Authorized OfficialNiko KoliastasisCeo · (918) 636-3930
Enumeration DateMay 26, 2017
✔ NPI 1023546660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
209 N OAK ST, Sallisaw, OK 74955
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VITALITY MEDICAL
Clinic/Center (Primary Care)
209 N OAK ST
SALLISAW, OK 74955
Sequoyah County (918) 636-3930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Primary Care LLC's NPI number?

The NPI number for Vitality Primary Care LLC is 1023546660. It was assigned to this organization in the NPPES registry on May 26, 2017.

Where is Vitality Primary Care LLC located?

Vitality Primary Care LLC is located at 209 N Oak St, Sallisaw, OK 74955. The listed phone number is (918) 636-3930.

What is Vitality Primary Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Vitality Primary Care LLC was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.