Vitality Spine Center, Inc.

LBN: Vitality Medical Centers, Inc.
Vitality Spine Center, Inc. is an health care organization with primary practice located at 101 Medical Cir Ste A , West Columbia SC 29169-3650. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Vitality Medical Centers, Inc. can be contacted via phone (803) 244-9212, or through Farmer, Jason B via phone (803) 244-9212.

Contact Information

Primary practice address
101 Medical Cir Ste A West Columbia SC 29169-3650
Phone: (803) 244-9212
Fax: (803) 708-0865
Website:
Map and Directions
Authorized official contact:
Name: Farmer, Jason B
Phone: (803) 244-9212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1982999249
LBN Legal business name Vitality Medical Centers, Inc.
DBA Doing business as Vitality Spine Center, Inc.
Authorized official Farmer, Jason B
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2011
Last updated Oct 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982999249 NPPES
South Carolina Other 7059550001 MEDICARE DME PTAN
South Carolina MEDICAID GP6730 MEDICARE DME PTAN

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