PRIMARY HEALTHCARE PLLC NPI 1700503182

NPI Information

NPI: 1700503182
Provider Name: PRIMARY HEALTHCARE, PLLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
CLIA Number: 46D2274287
Address: 6095 S FASHION BLVD STE 220
MURRAY, UT
ZIP 84107
Phone: (801) 758-8735

Map and Directions

Get Directions

NPI Details

PRIMARY HEALTHCARE, PLLC is a primary care clinic center in Murray, UT. PRIMARY HEALTHCARE, PLLC NPI is 1700503182. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6095 S FASHION BLVD STE 220
MURRAY, UT
ZIP 84107-393
Phone: (801) 758-8735
Fax: (801) 769-3991

The provider's authorized official is Kevin Mangum .
The authorized official title is Ceo/physician and has the following contact phone number (801) 758-8735.

The CLIA number assigned to this NPI record is 46D2274287 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2022 and was last updated on 6/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207QS0010X	Family Medicine	Sports Medicine	No
2	207XX0005X	Orthopaedic Surgery	Sports Medicine	No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	261QM2500X	Clinic/Center	Medical Specialty	No
5	261QP2000X	Clinic/Center	Physical Therapy	No
6	261QU0200X	Clinic/Center	Urgent Care	No
7	261QP2300X	Clinic/Center	Primary Care	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI