| Vitalis Health | |
|
3091 Battlefield Pkwy Ft Oglethorpe GA 30742-4003 | |
| (423) 902-9667 | |
| Not Available |
| Full Name | Vitalis Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3091 Battlefield Pkwy, Ft Oglethorpe, Georgia |
| Authorized Official Name and Position | Denise Goodwin (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4239029667 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitalis Health 3091 Battlefield Pkwy Ft Oglethorpe GA 30742-4003 Ph: (706) 841-0500 | Vitalis Health 3091 Battlefield Pkwy Ft Oglethorpe GA 30742-4003 Ph: (423) 902-9667 |
| NPI Number | 1417598517 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 08/21/2020 |
| Certification Date | 08/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417598517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Mitchell Rd, Ft Oglethorpe, GA 30742 Phone: 706-638-5580 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 City Hall Dr, Ft Oglethorpe, GA 30742 Phone: 706-638-5580 |