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

Vitegent Healthcare Inc

Organization Clinic/Center · NPI 1215585807

Vitegent Healthcare Inc is a Clinic/Center in Holbrook, Arizona. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

500 E Iowa St
Holbrook, AZ 86025-2750
Phone: (928) 524-3913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Hearing and Speech Clinic/Center Taxonomy 261QH0700X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1215585807
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Hickman — President And Ceo · (302) 724-6217
Other names Petrified Forest Medical Center; Petrified Forest Medical Center
NPI enumeratedAugust 28, 2019
Last updated in NPPESSeptember 18, 2019
Mailing address8 The Grn Ste 10294, Dover, DE 19901-3618