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

Vitality Care Center PLLC

Organization Family Medicine Physician · NPI 1114575578

Vitality Care Center PLLC provides Family Medicine Physician services in Prescott, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1003 Division St Ste 8
Prescott, AZ 86301-1657
Phone: (928) 632-0730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1114575578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clarke Krugman — Owner · (928) 713-8385
NPI enumeratedAugust 29, 2019
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020
Mailing address7760 E. State Route 69, Suite C-5 Box 360, Prescott Valley, AZ 86314

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