Healthcare Provider Details

I. General information

NPI: 1043123490
Provider Name (Legal Business Name): VIGILANT HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 COMMERCE ST
WELLSBURG WV
26070-1322
US

IV. Provider business mailing address

268 MAJESTIC DR
WHEELING WV
26003-7362
US

V. Phone/Fax

Practice location:
  • Phone: 304-218-0559
  • Fax:
Mailing address:
  • Phone: 304-218-0559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELINE MARIE ROBERTSON
Title or Position: OWNER
Credential: NP
Phone: 304-218-0559