LIFETIME MEDICAL CARE PLLC
NPI 1265840037
Clinic/Center - Rural Health in Prescott, AZ

Active since July 24, 2014
3101 CLEARWATER DR, SUITE B, PRESCOTT, AZ 86305(928) 237-9014(928) 237-9063 Get Directions Write a Review

NPPES record last updated: January 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lifetime Medical Care Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFETIME MEDICAL CARE PLLC (NPI 1265840037) is a healthcare organization registered as a rural health in Prescott, Arizona and active in the NPI registry since July 2014. The organization lists Shelly Damschroder, Manager/owner/provider, as its authorized official.

NPPES Registry Identity

NPI1265840037
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameLIFETIME MEDICAL CARE PLLC
Location Address3101 CLEARWATER DR, SUITE BPrescott, AZ 86305-7180
Mailing Address3101 Clearwater Dr, Suite BPrescott, AZ 86305-7180 · (928) 237-9014 · Fax (928) 237-9063
Fax(928) 237-9063
Organization SubpartNo
Authorized OfficialShelly DamschroderManager/owner/provider · (928) 237-9014
Enumeration DateJuly 24, 2014
Last NPPES UpdateJanuary 4, 2015
NPI 1265840037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in AZ · AP7289
3101 CLEARWATER DR, Prescott, AZ 86305

Other Identifiers 1

OtherAP7289AZ · Nurse Practitioner License Number

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
3101 CLEARWATER DR, #D
PRESCOTT, AZ 86305
Marriage & Family Therapist
3101 CLEARWATER DR, SUITE B
PRESCOTT, AZ 86305
Surgery
3101 CLEARWATER DR, SUITE D
PRESCOTT, AZ 86305
Surgery
3101 CLEARWATER DR, SUITE A
PRESCOTT, AZ 86305
Clinic/Center (Physical Therapy)
3101 CLEARWATER DR, SUITE D
PRESCOTT, AZ 86305
Internal Medicine
3101 CLEARWATER DR, SUITE C
PRESCOTT, AZ 86305
Surgery
3101 CLEARWATER DR, SUITE A
PRESCOTT, AZ 86305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifetime Medical Care PLLC's NPI number?

The NPI number for Lifetime Medical Care PLLC is 1265840037. It was assigned to this organization in the NPPES registry on July 24, 2014.

Where is Lifetime Medical Care PLLC located?

Lifetime Medical Care PLLC is located at 3101 Clearwater Dr Suite B, Prescott, AZ 86305. The listed phone number is (928) 237-9014.

What is Lifetime Medical Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Lifetime Medical Care PLLC was last updated on January 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.