Provider Demographics
NPI:1881468296
Name:VITAL CARE P.C.
Entity type:Organization
Organization Name:VITAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:CASCADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:603-723-0870
Mailing Address - Street 1:596 SHAKER HILL RD
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03748-3626
Mailing Address - Country:US
Mailing Address - Phone:603-723-0870
Mailing Address - Fax:
Practice Address - Street 1:30 BANK ST STE 8
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1756
Practice Address - Country:US
Practice Address - Phone:603-678-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty