# VITALITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952938045
- **Authorized official:** TARRYN FARRELL (CFO)
- **Authorized official phone:** (970) 631-4173

## Contact information

- **Practice address:** 3534 JOHN F KENNEDY PKWY STE B, FORT COLLINS, CO 80525-2668
- **Practice address phone:** (970) 631-4173
- **Mailing address:** 3534 JOHN F KENNEDY PKWY STE B, FORT COLLINS, CO 80525-2668
- **Mailing address phone:** (970) 631-4173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2020
- **Last updated:** 09/03/2020