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NPI Code Detail

MEDICARE: VITAL SPAN CARE LLC

MEDICARE: VITAL SPAN CARE LLC
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
1332BX2000XOxygen Equipment & Supplies (DME)
2335E00000XProsthetic/Orthotic Supplier
3332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1861347833
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAL SPAN CARE LLC
Provider Business Mailing Address
First Line : 1130 UNIVERSITY BLVD STE B9
Second Line : BOX 366
City : TUSCALOOSA
State : AL
Zip : 35401-0328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 41ST ST STE E
Second Line :
City : TUSCALOOSA
State : AL
Zip : 35405-3701
Country : US
Telephone Number : 205-248-7035
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : BRYANT SPENCER
Credential :
Telephone Number : 205-248-7035
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “VITAL SPAN CARE LLC ” Practice Location

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