Healthcare Provider Details

I. General information

NPI: 1760251672
Provider Name (Legal Business Name): VITALCORE HEALTH STRATEGIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2023
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 SW VAN BUREN ST STE 100
TOPEKA KS
66603-3741
US

IV. Provider business mailing address

719 SW VAN BUREN ST STE 100
TOPEKA KS
66603-3741
US

V. Phone/Fax

Practice location:
  • Phone: 785-246-6840
  • Fax: 785-408-5617
Mailing address:
  • Phone: 785-246-6840
  • Fax: 785-408-5617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: VIOLA A RIGGIN
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 785-260-1875