Vandalia Medical Center – Family Medicine Physician, NPI 1104879097

Vandalia Medical Center is a healthcare provider. based in Vandalia, Ohio. specializing in Family Medicine Physician. The NPI Number for Vandalia Medical Center is 1104879097

Main info

Organization
Name
Vandalia Medical Center
NPI
1104879097
Phone
(937) 208-7500
Address
55 ELVA CT
Authorized Official
KENNETH PRUNIER PRESIDENT/CEO
Enumeration Date
19 May 2006
Last Update Date
27 August 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Vandalia Medical Center

  • 55, Elva Court, Vandalia, Montgomery County, Ohio, 45377, United States

    VANDALIA, OH 453771875

    Phone: (937) 208-7500

    Fax: (937) 208-7515

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45377)

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Reviews

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Frequently asked questions

How is Vandalia Medical Center identified in CMS data?
CMS-hosted NPPES data lists Vandalia Medical Center with NPI 1104879097.
Is Vandalia Medical Center still practicing?
Vandalia Medical Center is currently listed as active in the public NPI registry.
What is Vandalia Medical Center's primary classification?
Family Medicine Physician is the headline specialty for Vandalia Medical Center here. Clinical services aligned with this taxonomy classification.
What address line appears for Vandalia Medical Center?
Vandalia Medical Center's geographic hint is Vandalia, Ohio in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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