Organization
PRIME VIRTUAL CARE CENTER LLC
Active
Parent organization
PRIME VIRTUAL CARE CENTER LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME VIRTUAL CARE CENTER LLC
Authorized official
SMITH JACKSON (MANAGER)
(520) 843-4567
Entity
Organization
Contact information
Practice address
4539 N 22ND ST STE R, PHOENIX, AZ 85016-4639
(520) 843-4567
Mailing address
165 ITHACA ST, BAY SHORE, NY 11706-4606
(520) 843-4567
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2026
Last updated
07/14/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up