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Vitality Primary Care LLC

Primary Care Clinic/Center in Sallisaw, OK · enumerated 2017 · authorized official Niko Koliastasis, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023546660

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Registry record

Entity type Organization (Type 2)
Legal business name Vitality Primary Care LLC
Practice address 209 N Oak St, Sallisaw, OK, 74955
Phone (918) 636-3930
Fax (918) 636-3930
Enumeration date May 26, 2017
Last updated in NPPES May 26, 2017

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Niko Koliastasis
Title Ceo
Phone (918) 636-3930

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Vitality Primary Care LLC?
The NPI for Vitality Primary Care LLC is 1023546660, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Vitality Primary Care LLC?
NPPES lists Niko Koliastasis (Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-26.