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 is a Family Medicine Physician 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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