Prime Wellness Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PRIME WELLNESS CENTER LLC

Practice address

16605 N 28TH Ave Ste A104
Phoenix, AZ 85053-7551

Phone

(602) 607-5151

Fax

(602) 607-5206

NPI assigned

Jul 3, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Deo Tumwine

Title

Ceo

Phone

(857) 544-6282

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1558048439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16605 N 28TH AVE STE A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537551",
            "telephone_number": "602-607-5151",
            "fax_number": "602-607-5206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16605 N 28TH AVE STE A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537551",
            "telephone_number": "602-607-5151",
            "fax_number": "602-607-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "TUMWINE",
        "authorized_official_first_name": "DEO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-544-6282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prime Medical Clinic, PLC
• Prime Medical Pain Management Center
• Prime Medical Pain Management Centers II PLC
• Prime Medical Pain Management Centers, LLC
• Prime Virtual Care Center LLC
• Primemed Transport
• Primera Enterprise LLC
• Prince Med Trans LLC
• Prince of Peace Home Health, LLC
• Prince of Peace Home Healthcare LLC.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.