OrganizationActive
Primary Healthcare, PLLC
NPI 1700503182 · Primary Care Clinic/Center · Murray, UT
Provider details
- NPI number
- 1700503182
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Mangum, Ceo/Physician(801) 758-8735
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Practice location
6095 S Fashion Blvd Ste 220
Murray, UT 84107-7393
Phone: (801) 758-8735
Fax: (801) 769-3991
Approximate (ZIP-level) locationGet directions
Mailing address
6095 S Fashion Blvd Ste 220
Murray, UT 84107-7393
Registry dates
- Enumerated
- 2022-10-26
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.