PRIMARY HEALTHCARE, PLLC
NPI 1700503182
Clinic/Center - Primary Care in Murray, UT
About Primary Healthcare, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIMARY HEALTHCARE, PLLC (NPI 1700503182) is a healthcare organization registered as a primary care in Murray, Utah and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Kevin Mangum, Ceo/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Primary Healthcare, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Primary Healthcare, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2274287
Primary Healthcare · Murray, UTFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Primary Healthcare, PLLC's NPI number?
The NPI number for Primary Healthcare, PLLC is 1700503182. It was assigned to this organization in the NPPES registry on October 26, 2022.
Where is Primary Healthcare, PLLC located?
Primary Healthcare, PLLC is located at 6095 S Fashion Blvd Ste 220, Murray, UT 84107. The listed phone number is (801) 758-8735.
What is Primary Healthcare, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Primary Healthcare, PLLC enrolled in Medicare?
Yes. Primary Healthcare, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Primary Healthcare, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Primary Healthcare, PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Primary Healthcare, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2274287) is associated with this NPI, valid through December 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Primary Healthcare, PLLC accept?
Health plans from Molina Healthcare and University of Utah Health Plans list Primary Healthcare, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Primary Healthcare, PLLC was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Primary Healthcare, Pllc · NPI 1700503182
Primary Care organization in Murray, Utah. Organization record, active in the CMS NPPES registry since October 26, 2022.
## Identity
- **NPI:** 1700503182 (Entity type: Organization)
- **Enumerated:** October 26, 2022
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kevin Mangum, CEO/PHYSICIAN
## Practice location
- **Address:** 6095 S FASHION BLVD STE 220, Murray, UT 84107-7393
- **Phone:** (801) 758-8735 · **Fax:** (801) 769-3991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1700503182) · Data from the CMS NPPES public registry.