NPIMap

Organization Active NPI

Vitalive Inc.

  • Urgent Care Clinic/Center
  • Albany, GA
National Provider Identifier
1245007806
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VITALIVE INC.
Doing business as
Vitalife Inc.
Practice address
1313 W Broad Ave
Albany, GA 31707-4343
Phone
(229) 712-1007
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Antonio Screen
Title
Owner
Phone
(812) 863-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1313 W Broad Ave
Albany, GA 31707-4343

Mailing address

1313 W Broad Ave
Albany, GA 31707-4343
Phone (229) 712-1007

Other names 1

  • Vitalife Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1313 W Broad Ave
Albany, GA 31707
Phone (229) 712-1007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1245007806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 W BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074343",
            "telephone_number": "229-712-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W BROAD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317074343",
            "telephone_number": "229-712-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALIVE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "SCREEN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-863-1200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vitalife Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.