VITALITY HEALTH NETWORK LLC


Address: 3100 Dick Pond Rd Unit E, Myrtle Beach, SC 29588-7286
Phone: 8434100330

VITALITY HEALTH NETWORK LLC (NPI# 1962908558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962908558
Entity Type Organization
Organization Name VITALITY HEALTH NETWORK LLC
Practice Address 3100 Dick Pond Rd Unit E
Myrtle Beach
SC 29588-7286
Practice Telephone 8434100330
Mailing Telephone 8434100330
Enumeration Date 2018-04-03
Last Update Date 2018-04-03
Authorized Official Name MS. LUCY MARTINEZ (OFFICE MANAGER)
Authorized Official Telephone 8434100330
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 3100 DICK POND RD UNIT E
City MYRTLE BEACH
State SC
Zip Code 29588-7286

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740819309 Forrest Halsey Westley Pharmacist 3072 Dick Pond Rd. Suite 2, Myrtle Beach, SC 29588 2020-04-06
1588124176 The Counseling Center of Sayebrook Counselor 106 Lansford Court Suite 202, Myrtle Beach, SC 29588 2019-03-21
1134631443 Solid Foundations, LLC Clinic/Center 4325 Dick Pond Road, Suite E, Myrtle Beach, SC 29588 2017-10-26
1316496037 Grand Strand Rehab and Nursing Center, LLC Skilled Nursing Facility 4452 Socastee Boulevard, Myrtle Beach, SC 29588 2016-09-22
1386092039 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 1370 South Commons Drive, Suite 102, Myrtle Beach, SC 29588 2016-06-02
1114314531 Allison Smith Physical Therapy Assistant 4870 Socastee Blvd, Myrtle Beach, SC 29588 2015-04-23
1760806160 Myrtle Beach Physical Medicine & Rehab, LLC Family Medicine 4736 17 Bypass South, Myrtle Beach, SC 29588 2014-02-06
1801228499 Robin Ruth Gause Lactation Consultant, Non-RN 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 2013-08-06
1124386438 Horace Earl Ferguson Jr. Technician/Technologist 4535 Dick Pond Road, A, Myrtle Beach, SC 29588 2012-04-25
1831463652 Medeyecare, LLC Technician/Technologist 4335 Socastee Blvd, Unit A, Myrtle Beach, SC 29588 2012-02-24
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184090763 Convenient Concierge Healthcare Clinic/Center 922 Jericho Ct, Myrtle Beach, SC 29579-3422 2015-08-18
1285973255 Wellnessone Ancillary Services LLC Clinic/Center 4736a Highway 17 Byp S, Myrtle Beach, SC 29588-5616 2013-02-11
1962881268 360 Health Care Clinic/Center 4810 N Kings Hwy, Myrtle Beach, SC 29577-2558 2015-05-20
1104250604 Completecare Med LLC Clinic/Center 4736 Highway 17 Byp S, Myrtle Beach, SC 29588-5616 2013-09-03
1609079201 Institute of Electrophysiology Clinic/Center 4420 Oleander Dr, Suite 102, Myrtle Beach, SC 29577-5720 2007-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114551926 Nocd North Carolina PC Clinic/Center 374 Lakewind Dr, Moncks Corner, SC 29461-7448 2020-03-02
1316419484 Open Arms Counseling Center Clinic/Center 123 Erinvine Ct, Darlington, SC 29532-4203 2018-12-29
1750851085 Jacobus Orthopedics and Interventional Pain Management LLC Clinic/Center 118 Clair Dr, Piedmont, SC 29673-7771 2018-11-29
1629556477 Healthworks Med Group of South Carolina P C Clinic/Center 701 Chesterfield Hwy, Cheraw, SC 29520-7002 2018-08-03
1780177576 Denmark-olar Elementary School Clinic/Center 1459 Solomon Blatt Blvd, Denmark, SC 29042 2018-06-07
1841782802 Denmark-olar High School Clinic/Center 197 Viking Cir, Denmark, SC 29042 2018-06-05
1760974828 Sandy Run K-8 School Clinic/Center 450 Old Swamp Rd, Swansea, SC 29160 2018-06-05
1881185999 St. Matthews K-8 School Clinic/Center 132 Saints Avenue, St .matthews, SC 29135 2018-05-24
1598256711 Calhoun County High School Clinic/Center 150 Saints Ave, St Matthews, SC 29135-9005 2018-05-23
1710417001 Drayer Physical Therapy-south Carolina, LLC Clinic/Center 738 W Main St, Lexington, SC 29072-2545 2017-06-19
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Competitor

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City MYRTLE BEACH
Zip Code 29588

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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