Vitalsurge Llc in Joplin - Non-pharmacy Dispensing Site
Vitalsurge Llc - NPI 1467661157
Vitalsurge Llc is a Non-pharmacy Dispensing Site in Joplin, Missouri. Vitalsurge Llc practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Vitalsurge Llc is 1467661157. The last update date is 2020-08-22.
Vitalsurge Llc's current location address is 702 W 42nd St, Joplin, Missouri. You can contact this provider via phone number 4172060105 and fax number 4172060109. The mailing address for Vitalsurge Llc is 702 W 42nd St, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vitalsurge Llc |
|---|---|
| Address | 702 W 42nd St, Joplin, Missouri |
| Phone Number | 4172060105 |
| Fax Number | 4172060109 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO PRESID |
|---|---|
| Authorized Official Name | Weber Dick |
| Telephone Number | 4172060105 |
NPI Number Detail
| NPI Number | 1467661157 |
|---|---|
| Provider Enumeration Date | 2007-05-21 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 702 W 42nd St |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648044564 |
| Phone Number | 4172060105 |
| Fax Number | 4172060109 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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What is the unique identifier code issued to Vitalsurge Llc by the Centers for Medicare & Medicaid Services?
The Vitalsurge Llc has been assigned the NPI (National Provider Identifier) 1467661157. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Vitalsurge Llc's facilities are situated?
The facilities of Vitalsurge Llc are physically located at the following address: 702 W 42Nd St, Joplin, MO, 648044564.
What is the Vitalsurge Llc's area of specialization and corresponding taxonomy classification?
The Vitalsurge Llc's specialty field is Non-pharmacy Dispensing Site, and it falls under the taxonomy code 332900000X, which categorizes healthcare providers based on their specialties.
On what date did the Vitalsurge Llc receive the assignment of its 1467661157 from the Centers for Medicare & Medicaid Services?
The Vitalsurge Llc was issued its 1467661157 by the Centers for Medicare & Medicaid Services on 2007-05-21.
As of what date were the details pertaining to Vitalsurge Llc last refreshed?
The information related to the Vitalsurge Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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