1. Home
  2. Directory
  3. Oklahoma
  4. Grove
  5. Family Medicine
  6. NPI Profile

VITAL HEALTH ALLIANCE GROUP
NPI 1902764053
Family Medicine in Grove, OK

Active since January 15, 2026CLIA Certified · 2 labs
2104 S MAIN ST, GROVE, OK 74344(918) 999-9339(918) 238-9990 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vital Health Alliance Group NPPES

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

VITAL HEALTH ALLIANCE GROUP (NPI 1902764053) is a healthcare organization registered as a family medicine in Grove, Oklahoma and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates and lists Serena Brooke Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1902764053
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVITAL HEALTH ALLIANCE GROUP
Location Address2104 S MAIN STGrove, OK 74344-5356
Mailing Address828 A St NwMiami, OK 74354-4605 · (918) 999-9339 · Fax (918) 238-9990
Phone(918) 999-9339
Fax(918) 238-9990
Organization SubpartYes
Authorized OfficialSerena Brooke WilsonOwner · (918) 961-1658
Enumeration DateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
✔ NPI 1902764053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2104 S MAIN ST, Grove, OK 74344
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2307617

Vital Health Alliance Group, LLC · Miami, OK
Active · expires Jul 10, 2028
CLIA Number37D2307617
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorMelinda R. Allen
Laboratory Phone(918) 999-9339
Laboratory LocationVital Health Alliance Group, LLC828 A St NW, Miami, OK 74354
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2342015

Vital Health Alliance Grove · Grove, OK
Active · expires Apr 12, 2028
CLIA Number37D2342015
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorMelinda Allen
Laboratory Phone(918) 999-9339
Laboratory LocationVital Health Alliance Grove2104 S Main St, Grove, OK 74344
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KIMBERLY RENE BUFFALO NURSE PRACTITIONER
Nurse Practitioner (Family)
2104 S MAIN ST
GROVE, OK 74344
Delaware County (918) 964-7071
MUSUMA HEALTH CARE AND MEDICAL SPA, PLLC
Clinic/Center (Primary Care)
2104 S MAIN ST
GROVE, OK 74344
Delaware County (918) 964-7071

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 Vital Health Alliance Group's NPI number?

The NPI number for Vital Health Alliance Group is 1902764053. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Vital Health Alliance Group located?

Vital Health Alliance Group is located at 2104 S Main St, Grove, OK 74344. The listed phone number is (918) 999-9339.

What is Vital Health Alliance Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Vital Health Alliance Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Vital Health Alliance Group was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.