OrganizationActive
Vital Healing Functional Medicine, LLC
NPI 1992458285 · Health Service Clinic/Center · Rapid City, SD
Provider details
- NPI number
- 1992458285
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Olivia Gorans, Sole Member
Practice location
1760 Centre St Ste B
Rapid City, SD 57703-4035
Phone: (605) 872-0404
Fax: (605) 472-7304
Mailing address
1760 Centre St Ste B
Rapid City, SD 57703-4035
Registry dates
- Enumerated
- 2022-01-27
- Last updated
- 2023-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.