MEDICARE: VITALITY CHIROPRACTIC INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC008738	PA

General Provider Information

NPI Number	:	1396283891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALITY CHIROPRACTIC INC.

Provider Business Mailing Address
First Line	:	325 MAIN ST
Second Line	:	PO BOX 825
City	:	GREAT BEND
State	:	PA
Zip	:	18821-9753
Country	:	US
Telephone Number	:	570-879-2979
Fax Number	:	570-879-5044

Provider Business Practice Location Address
First Line	:	325 MAIN ST
Second Line	:
City	:	GREAT BEND
State	:	PA
Zip	:	18821-9753
Country	:	US
Telephone Number	:	570-879-2979
Fax Number	:	570-879-5044

Authorized Official
Title or Position	:	CEO
Name	:	DR. GEORGE HAROLD STOVER III
Credential	:	D.C.
Telephone Number	:	570-879-2979

Provider Enumeration Date	:	02/03/2017
Last Update Date	:	02/03/2017

Similar Medicare Providers

1770766958 — HEALTH SOURCE OF GREAT BEND INC
Practice Location Address:

325 MAIN ST
GREAT BEND, PA
18821-9753

Practice Phone: 570-879-2979
Practice Fax: 570-879-5044

1700118247 — DR. BRETT ALLEN MULLEN D.C.
Practice Location Address:

325 MAIN ST
GREAT BEND, PA
18821-9753

Practice Phone: 570-879-2979
Practice Fax: 570-879-5044

1548408222 — MRS. FRANCESCA NICOLE MARSH CCC/SLP
Practice Location Address:

4522 HUNGRY HOLLOW RD
GREAT VALLEY, NY
14741-9753

Practice Phone: 716-945-6557
Practice Fax:

1497732721 — GREAT BEND HALLSTEAD VOLUNTEER AMBULANCE INC
Practice Location Address:

5 CARROL ST
GREAT BEND, PA
18821-7700

Practice Phone: 570-879-4483
Practice Fax:

1144322330 — DR. GEORGE HAROLD STOVER III DC
Practice Location Address:

325 MAIN STREET
GREAT BEND, PA
18821

Practice Phone: 570-879-2979
Practice Fax: 570-879-5044

1679901714 — LOURDES HOSPITAL
Practice Location Address:

1496 RANDOLPH RD
GREAT BEND, PA
18821-9516

Practice Phone: 607-760-1280
Practice Fax:

Directions to “VITALITY CHIROPRACTIC INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.