Active NPI
Vital Care, PLLC
- Urgent Care Clinic/Center
- Battle Ground, WA
National Provider Identifier
1093301418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- VITAL CARE, PLLC
- Practice address
- 101 NW 12TH Ave Ste 107
Battle Ground, WA 98604-9141 - Phone
- (360) 723-0528
- NPI assigned
- Dec 19, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Cobb
- Title
- Billing/Credentialing Manager
- Phone
- (360) 723-0528
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
101 NW 12TH Ave Ste 107
Battle Ground, WA 98604-9141
Mailing address
PO Box 1183
Battle Ground, WA 98604-1183
Phone (360) 723-0528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA60470619 | Other | WA | WASHINGTON DEPARTMENT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@vitalcarewa.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251124003145 | WA | Part B Supplier - Clinic/Group Practice | 0143712414 |
Receives reassigned benefits from 12 practitioners Practice locations: Battle Ground, WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2203753 | Vital Care, PLLC | Compliance | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1207 SE Rasmussen Blvd
Ste 119
Battle Ground, WA 98604
Phone (360) 210-3044
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1093301418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1183",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986041183",
"telephone_number": "360-723-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 12TH AVE STE 107",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986049141",
"telephone_number": "360-723-0528"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-19",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "COBB",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
"authorized_official_telephone_number": "360-723-0528"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON DEPARTMENT OF HEALTH",
"identifier": "PA60470619",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@vitalcarewa.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "101 NW 12th Ave Ste 107",
"city": "Battle Ground",
"state": "WA",
"country_code": "US",
"postal_code": "986049141",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.