OrganizationActive
Vital Health Alliance Group
NPI 1902764053 · Family Medicine Physician · Grove, OK
Vital Health Alliance Group is a Family Medicine Physician organization in Grove, OK (NPI 1902764053).
Provider details
- NPI number
- 1902764053
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vital Health Alliance Group
- Organization subpart
- Yes
- Authorized official
- Serena Wilson, Owner(918) 961-1658
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2104 S Main St
Grove, OK 74344-5356
Phone: (918) 999-9339
Fax: (918) 238-9990
Street-level locationGet directions
Mailing address
828 a St Nw
Miami, OK 74354-4605
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Vital Health Alliance Group's NPI number?
- Vital Health Alliance Group's National Provider Identifier (NPI) is 1902764053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vital Health Alliance Group?
- Vital Health Alliance Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Vital Health Alliance Group located?
- Vital Health Alliance Group's practice location on file with NPPES is 2104 S Main St, Grove, OK 74344-5356.
- What is Vital Health Alliance Group's phone number?
- The practice phone number listed in the NPPES registry for Vital Health Alliance Group is (918) 999-9339.
- Who is the authorized official for Vital Health Alliance Group?
- The authorized official listed on Vital Health Alliance Group's NPPES record is Serena Wilson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vital Health Alliance Group's NPI active?
- Yes — Vital Health Alliance Group's NPI (1902764053) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.