OrganizationActive
Vitality Medical
NPI 1962930503 · Primary Care Clinic/Center · Sallisaw, OK
Vitality Medical is a Primary Care Clinic/Center organization in Sallisaw, OK (NPI 1962930503).
Provider details
- NPI number
- 1962930503
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Niko Koliastasis, Ceo(918) 636-3930
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
209 N Oak St
Sallisaw, OK 74955-4639
Phone: (918) 636-3930
Fax: (888) 422-2115
Street-level locationGet directions
Mailing address
209 N Oak St
Sallisaw, OK 74955-4639
Registry dates
- Enumerated
- 2017-05-26
- Last updated
- 2020-01-08
- Certified
- 2020-01-08
Frequently asked questions
- What is Vitality Medical's NPI number?
- Vitality Medical's National Provider Identifier (NPI) is 1962930503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Vitality Medical?
- Vitality Medical is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Vitality Medical located?
- Vitality Medical's practice location on file with NPPES is 209 N Oak St, Sallisaw, OK 74955-4639.
- What is Vitality Medical's phone number?
- The practice phone number listed in the NPPES registry for Vitality Medical is (918) 636-3930.
- Who is the authorized official for Vitality Medical?
- The authorized official listed on Vitality Medical's NPPES record is Niko Koliastasis, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Vitality Medical's NPI active?
- Yes — Vitality Medical's NPI (1962930503) is active in the NPPES registry as of the last update on 2020-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.