Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vitality Primary Care LLC

Organization Primary Care Clinic/Center · NPI 1023546660

Vitality Primary Care LLC is a Primary Care Clinic/Center in Sallisaw, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 N Oak St
Sallisaw, OK 74955-4639
Phone: (918) 636-3930
Fax: (918) 636-3930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1023546660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Niko Koliastasis — Ceo · (918) 636-3930
NPI enumeratedMay 26, 2017
Last updated in NPPESMay 26, 2017
Mailing address209 N Oak St, Sallisaw, OK 74955-4639

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