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Vitality Acupuncture LLC

Acupuncturist in Meridian, ID. Organization (NPI-2).

NPI number1205337656
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1205337656
Entity type
Organization (NPI-2)
Legal business name
Vitality Acupuncture LLC
Organization subpart
No
Enumeration date
Feb 21, 2018
Last updated
Feb 21, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X AcupuncturistACU279–Yes

Practice location

1500 W Barrett Dr
Meridian, ID 83642-3728

Phone 208-629-4920 · Fax 888-361-5391

Mailing address

1500 W Barrett Dr
Meridian, ID 83642-3728

Phone 208-629-4920 · Fax 888-361-5391

Authorized official

Heather Ann Bergstrom
Owner
2086294920

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Acupuncturist providers in Meridian, ID

All 10 Acupuncturist providers in Meridian · All 4,112 providers in Meridian

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