| Vitality Healthcare Pc | |
|
5717 Oakland Dr Ste A Portage MI 49024-1116 | |
| (269) 323-4473 | |
| (269) 324-0755 |
| Full Name | Vitality Healthcare Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 5717 Oakland Dr, Portage, Michigan |
| Authorized Official Name and Position | James T Joseph (PRESIDENT) |
| Authorized Official Contact | 2693234473 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Healthcare Pc 5717 Oakland Dr Ste A Portage MI 49024-1116 Ph: (269) 323-4473 | Vitality Healthcare Pc 5717 Oakland Dr Ste A Portage MI 49024-1116 Ph: (269) 323-4473 |
| NPI Number | 1770954703 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 10/05/2016 |
| Medicare PECOS PAC ID | 7911206131 |
|---|---|
| Medicare Enrollment ID | O20160421002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770954703 | NPI | - | NPPES |
| Provider Name | Steven T Osterhout |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679644405 PECOS PAC ID: 3779543368 Enrollment ID: I20041018000937 |
| Provider Name | John P Beavers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003066143 PECOS PAC ID: 9638230311 Enrollment ID: I20081213000098 |
| Provider Name | Sandra L Pratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831334762 PECOS PAC ID: 6608025036 Enrollment ID: I20120928000659 |
| Provider Name | James A Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083660229 PECOS PAC ID: 6800089988 Enrollment ID: I20160422001527 |
| Provider Name | Meghan B Fought |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710318464 PECOS PAC ID: 0840585022 Enrollment ID: I20160826001570 |
| Provider Name | John K Schulze |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528441268 PECOS PAC ID: 1153609227 Enrollment ID: I20161024002032 |
| Provider Name | Rebecca A Goole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700330974 PECOS PAC ID: 0345529335 Enrollment ID: I20161115001474 |
| Provider Name | Angela Marie Brannen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801385240 PECOS PAC ID: 0749535110 Enrollment ID: I20180626002998 |
| Provider Name | Nathaniel S Weiss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306359708 PECOS PAC ID: 6002162849 Enrollment ID: I20180709002241 |
| Provider Name | Amy Nicole Meints |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235602434 PECOS PAC ID: 8325371404 Enrollment ID: I20190604002321 |
| Provider Name | Lauren Vernice Oliver-schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578163820 PECOS PAC ID: 9436560117 Enrollment ID: I20201202000209 |
| Provider Name | Shelby E Hooley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316553381 PECOS PAC ID: 8527476530 Enrollment ID: I20210412001922 |
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