OrganizationActive
Lifetime Medical Care PLLC
NPI 1265840037 · Rural Health Clinic/Center · Prescott, AZ
Provider details
- NPI number
- 1265840037
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelly Damschroder, Manager/Owner/Provider(928) 237-9014
- License
- AP7289 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3101 Clearwater Dr
Suite B
Prescott, AZ 86305-7180
Phone: (928) 237-9014
Fax: (928) 237-9063
Street-level locationGet directions
Mailing address
3101 Clearwater Dr
Prescott, AZ 86305-7180
Registry dates
- Enumerated
- 2014-07-24
- Last updated
- 2015-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.